Laparoendoscopic single-site surgery in urologic patients: What does the future hold?
In this article, we briefly review the literature suggesting LESS is safe and holds a potential advantage over conventional laparoscopy. We then describe our techniques and outcomes for performing an extirpative (nephrectomy) and reconstructive (pyeloplasty) LESS procedure.
Review of the current literature
Since these initial reports with modest patient numbers, large, multi-institutional, multinational investigations have demonstrated LESS surgery to be safe with low complication rates (Eur Urol 2011; 60:998-1005; J Urol 2012; 187:1989-94). LESS surgery does not appear to place patients at additional risk compared to conventional laparoscopic operations. Further, there may be a marginal benefit with respect to in-hospital and early postoperative convalescence. The limited benefit of LESS surgery over conventional laparoscopy can be explained by one or more of the following factors:
From evidence to practice: Dr. Makarov discusses implementation science in urology
July 25th 2024“What our major contribution is, I think as urologists doing implementation science, is determining the important questions, which we are particularly well-suited to do because we're taking care of the patients,” says Danil V. Makarov, MD, MHS.
