Laparoendoscopic Single-Site Surgery for Benign Urologic Disease with a Homemade Single Port Device: Design and Tips for Beginners.
10.4111/kju.2012.53.3.165
- Author:
Joo Yong LEE
1
;
Dong Hyuk KANG
;
Jae Hoon CHUNG
;
Jung Ki JO
;
Seung Wook LEE
Author Information
1. Department of Urology, Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Laparoscopy;
Surgical procedures, minimally invasive;
Urology
- MeSH:
Anesthesia;
Gloves, Surgical;
Humans;
Laparoscopy;
Length of Stay;
Operative Time;
Prostate;
Rupture;
Surgical Procedures, Minimally Invasive;
Urinary Bladder;
Urologic Diseases;
Urology
- From:Korean Journal of Urology
2012;53(3):165-170
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: A single surgeon skilled in conventional laparoscopic surgery used laparoendoscopic single-site surgery (LESS) to treat benign urological diseases. This study reports our surgical results and introduces a simple technique with tips based on our experience. MATERIALS AND METHODS: LESS surgery was performed on 116 patients by use of a homemade single-port device composed of an Alexis wound retractor and a powder-free surgical glove. Cases were 44 varicocelectomies (including 8 bilateral cases), 38 renal cyst marsupializations (including 3 bilateral cases), 26 ureterolithotomies (with 1 concomitant ureterolithotomy and contralateral renal cyst marsupialization), 4 prostatic enucleations, and 4 bladder rupture repairs. The mean patient age was 44.43+/-16.46 years (range, 11 to 76 years), and the male-to-female ratio was 87:29. RESULTS: In one ureterolithotomy case, LESS was converted to conventional laparoscopic surgery. The mean operative time was 87.03+/-45.03 minutes, the estimated blood loss was 61.90 ml (range, 0 to 2,000 ml), and the mean hospital stay was 3.03+/-2.12 days. Two patients underwent single-port transvesical enucleation of the prostate (STEP) requiring patient-controlled anesthesia. No patients developed major complications, and all patients were satisfied, with 75.86% expressing a high degree of satisfaction. CONCLUSIONS: We report successful treatment outcomes for LESS in 116 cases of benign urological disease. Our findings suggest that LESS can replace conventional laparoscopy.
