Skip to main content
Erschienen in: Current Urology Reports 2/2011

01.04.2011

Selection of a Port for Use in Laparoendoscopic Single-siteSurgery

verfasst von: Rakesh Khanna, Michael A. White, Riccardo Autorino, Humberto K. Laydner, Wahib Isac, Bo Yang, Fatih Altunrende, Shahab P. Hillyer, Gregory Spana, Georges-Pascal Haber, Jihad H. Kaouk, Robert J. Stein

Erschienen in: Current Urology Reports | Ausgabe 2/2011

Einloggen, um Zugang zu erhalten

Abstract

Laparoendoscopic single-site surgery (LESS) is a novel technique that aims to perform abdominal surgery through a single incision. Various access techniques and ports exist. This review will attempt to describe the currently available ports as well as highlight their advantages and disadvantages.
Literatur
1.
Zurück zum Zitat Tracy CR, Raman JD, Cadeddu JA, Rane A. Laparoendoscopic single-site surgery in urology: where have we been and where are we heading? Nat Clin Pract Urol. 5(10), 561-8 (2008).PubMedCrossRef Tracy CR, Raman JD, Cadeddu JA, Rane A. Laparoendoscopic single-site surgery in urology: where have we been and where are we heading? Nat Clin Pract Urol. 5(10), 561-8 (2008).PubMedCrossRef
2.
Zurück zum Zitat Hirano D, et al. Retroperitoneoscopic adrenalectomy for adrenal tumors via a single large port. J Endourol 19(7), 788–792 (2005).PubMedCrossRef Hirano D, et al. Retroperitoneoscopic adrenalectomy for adrenal tumors via a single large port. J Endourol 19(7), 788–792 (2005).PubMedCrossRef
3.
Zurück zum Zitat Rané A, Rao P, Rao P. Single-Port Access Nephrectomy and Other Laparoscopic Urologic Procedures Using a Novel Laparoscopic Port (R-Port). Urology 72: 260–264 (2008).PubMedCrossRef Rané A, Rao P, Rao P. Single-Port Access Nephrectomy and Other Laparoscopic Urologic Procedures Using a Novel Laparoscopic Port (R-Port). Urology 72: 260–264 (2008).PubMedCrossRef
4.
Zurück zum Zitat •• Raman JD, Bensalah K, Bagrodia A, Stern JM, Cadeddu JA. Laboratory and clinical development of single keyhole umbilical nephrectomy. Urology 70(6), 1039–1042 (2007). This is an initial report describing urologic surgery with multiple ports through a single umbilical incision. PubMedCrossRef •• Raman JD, Bensalah K, Bagrodia A, Stern JM, Cadeddu JA. Laboratory and clinical development of single keyhole umbilical nephrectomy. Urology 70(6), 1039–1042 (2007). This is an initial report describing urologic surgery with multiple ports through a single umbilical incision. PubMedCrossRef
5.
Zurück zum Zitat Kommu SS, Rane A. Devices for Laparoendoscopic Single-Site Surgery in Urology. Expert Rev. Med. Devices. 6(1), 95–103 (2009).PubMedCrossRef Kommu SS, Rane A. Devices for Laparoendoscopic Single-Site Surgery in Urology. Expert Rev. Med. Devices. 6(1), 95–103 (2009).PubMedCrossRef
6.
Zurück zum Zitat Stolzenburg JU, Kallidonis P, Hellawell G, et al. Technique of laparo-endoscopic single-site surgery radical nephrectomy. Eur Urol. 56:644–50 (2009).PubMedCrossRef Stolzenburg JU, Kallidonis P, Hellawell G, et al. Technique of laparo-endoscopic single-site surgery radical nephrectomy. Eur Urol. 56:644–50 (2009).PubMedCrossRef
7.
Zurück zum Zitat Aron M, Canes D, Desai MM et al. Transumbilical single-port laparoscopic partial nephrectomy. BJU Int. 103: 516–21 (2008).PubMedCrossRef Aron M, Canes D, Desai MM et al. Transumbilical single-port laparoscopic partial nephrectomy. BJU Int. 103: 516–21 (2008).PubMedCrossRef
8.
Zurück zum Zitat Gill IS, Canes D, Aron M et al. Single port transumbilical (E-NOTES) donor nephrectomy. J. Urol. 180:637–41 (2008).PubMedCrossRef Gill IS, Canes D, Aron M et al. Single port transumbilical (E-NOTES) donor nephrectomy. J. Urol. 180:637–41 (2008).PubMedCrossRef
9.
Zurück zum Zitat Desai MM, Rao PP, Aron M et al. Scarless single port transumbilical nephrectomy and pyeloplasty: first clinical report. BJU Int. 101: 83–8 (2008).PubMedCrossRef Desai MM, Rao PP, Aron M et al. Scarless single port transumbilical nephrectomy and pyeloplasty: first clinical report. BJU Int. 101: 83–8 (2008).PubMedCrossRef
10.
Zurück zum Zitat Desai MM, Stein R, Rao P et al. Embryonic natural orifice transumbilical endoscopic surgery (E-NOTES) for advanced reconstruction: initial experience. Urology 73: 182–7 (2009).PubMedCrossRef Desai MM, Stein R, Rao P et al. Embryonic natural orifice transumbilical endoscopic surgery (E-NOTES) for advanced reconstruction: initial experience. Urology 73: 182–7 (2009).PubMedCrossRef
11.
Zurück zum Zitat Desai MM, Aron M, Canes D et al. Single-port transvesical simple prostatectomy: initial clinical report. Urology 72: 960–5 (2008).PubMedCrossRef Desai MM, Aron M, Canes D et al. Single-port transvesical simple prostatectomy: initial clinical report. Urology 72: 960–5 (2008).PubMedCrossRef
12.
Zurück zum Zitat White WM, Goel RK, Kaouk JH. Single-port laparoscopic retroperitoneal surgery: initial operative experience and comparative outcomes. Urology 73(9): 1279–1282 (2009).PubMedCrossRef White WM, Goel RK, Kaouk JH. Single-port laparoscopic retroperitoneal surgery: initial operative experience and comparative outcomes. Urology 73(9): 1279–1282 (2009).PubMedCrossRef
13.
Zurück zum Zitat Burgos JB, Flores JA, de la Vega JS, et al. Early Experience in Laparoscopic Radical Prostatectomy using the Laparoscopic Device for Umbilical Access SILS port. Actas Urol Esp. 34(6):495–9 (2010). Burgos JB, Flores JA, de la Vega JS, et al. Early Experience in Laparoscopic Radical Prostatectomy using the Laparoscopic Device for Umbilical Access SILS port. Actas Urol Esp. 34(6):495–9 (2010).
14.
Zurück zum Zitat •• Autorino R, Kim FJ, Rane A, et al. Low-cost Reusable Instrumentation for Laparoendoscopic Single-Site Nephrectomy: Assessment in a Porcine Model. J. Endourology. DOI 10:1089. This is a comparative study of single-use to reusable port options. •• Autorino R, Kim FJ, Rane A, et al. Low-cost Reusable Instrumentation for Laparoendoscopic Single-Site Nephrectomy: Assessment in a Porcine Model. J. Endourology. DOI 10:1089. This is a comparative study of single-use to reusable port options.
15.
Zurück zum Zitat Mereu L, Angioni S, Melis GB, Mencaglia L. Single Access Laparoscopy for Adnexal Pathologies using a Novel Reusable Port and Curved Instruments. International Journal of Gynecology and Obstetrics. 109: 78–80 (2010)PubMedCrossRef Mereu L, Angioni S, Melis GB, Mencaglia L. Single Access Laparoscopy for Adnexal Pathologies using a Novel Reusable Port and Curved Instruments. International Journal of Gynecology and Obstetrics. 109: 78–80 (2010)PubMedCrossRef
16.
Zurück zum Zitat Lim YK, Ng KH, Eu KW. Single Site Laparoscopic Right Hemicolectomy: an Oncological Feasible Option. World Journal of Surgical Oncology. 8(79) 2010 Lim YK, Ng KH, Eu KW. Single Site Laparoscopic Right Hemicolectomy: an Oncological Feasible Option. World Journal of Surgical Oncology. 8(79) 2010
17.
Zurück zum Zitat Pryor AD, Tushar JR, DiBernardo LR. Single-port cholecystectomy with the TransEnterix SPIDER: simple and safe. Surg. Endosc. 24(4):917–923 (2010).PubMedCrossRef Pryor AD, Tushar JR, DiBernardo LR. Single-port cholecystectomy with the TransEnterix SPIDER: simple and safe. Surg. Endosc. 24(4):917–923 (2010).PubMedCrossRef
18.
Zurück zum Zitat Tai HC, Lin CD, Wu CC, et al. Homemade Transumbilical Port: an Alternative Access for Laparoendoscopic Single-Site Surgery (LESS). Surg. Endosc. 24(3):705–708 (2010).PubMedCrossRef Tai HC, Lin CD, Wu CC, et al. Homemade Transumbilical Port: an Alternative Access for Laparoendoscopic Single-Site Surgery (LESS). Surg. Endosc. 24(3):705–708 (2010).PubMedCrossRef
19.
Zurück zum Zitat •• Jeon HG, Jeong W, Oh CK, et al. Initial Experience with 50 Laparoendoscopic Single Site Surgeries using a Homemade, Single Port Device at a Single Center. J. Urol. 183(5): 1866–1872 (2010). This article provides a description of, and experience with, a low-cost “homemade option” for a single port. •• Jeon HG, Jeong W, Oh CK, et al. Initial Experience with 50 Laparoendoscopic Single Site Surgeries using a Homemade, Single Port Device at a Single Center. J. Urol. 183(5): 1866–1872 (2010). This article provides a description of, and experience with, a low-cost “homemade option” for a single port.
20.
Zurück zum Zitat Tracy CR, Raman JD, Bagrodia A, Cadeddu JA. Perioperative Outcomes in Patients Undergoing Conventional Laparoscopic Versus Laparoendoscopic Single-site Pyeloplasty. Urology 74: 1029–1035 (2009)PubMedCrossRef Tracy CR, Raman JD, Bagrodia A, Cadeddu JA. Perioperative Outcomes in Patients Undergoing Conventional Laparoscopic Versus Laparoendoscopic Single-site Pyeloplasty. Urology 74: 1029–1035 (2009)PubMedCrossRef
21.
Zurück zum Zitat Raman JD, Bagrodia A, Cadeddu JA. Single-Incision, Umbilical Laparoscopic versus Conventional Laparoscopic Nephrectomy: A Comparison of Perioperative Outcomes and Short-Term Measures of Convalescence. European Urology 55(5): 1198–1206 (2009).PubMedCrossRef Raman JD, Bagrodia A, Cadeddu JA. Single-Incision, Umbilical Laparoscopic versus Conventional Laparoscopic Nephrectomy: A Comparison of Perioperative Outcomes and Short-Term Measures of Convalescence. European Urology 55(5): 1198–1206 (2009).PubMedCrossRef
22.
Zurück zum Zitat Derweesh IH, Silberstein JL, Bazzi W, et al. Laparo-Endoscopic Single-Site Surgery for Radical and Cytoreductive Nephrectomy, Renal Vein Thrombectomy, and Partial Nephrectomy: A Prospective Pilot Evaluation. Diag. and Ther. Endo. (2010) Derweesh IH, Silberstein JL, Bazzi W, et al. Laparo-Endoscopic Single-Site Surgery for Radical and Cytoreductive Nephrectomy, Renal Vein Thrombectomy, and Partial Nephrectomy: A Prospective Pilot Evaluation. Diag. and Ther. Endo. (2010)
23.
Zurück zum Zitat Rais-Bahrami S, Montag S, Atalla MA, et al. Laparoendoscopic Single-site Surgery of the Kidney with no Accessory Trocars: An Initial Experience. J Endourol 23:1319–24 (2009).PubMedCrossRef Rais-Bahrami S, Montag S, Atalla MA, et al. Laparoendoscopic Single-site Surgery of the Kidney with no Accessory Trocars: An Initial Experience. J Endourol 23:1319–24 (2009).PubMedCrossRef
24.
Zurück zum Zitat Ryu DS, Park WJ, Oh TH. Retroperitoneal Laparoendoscopic Single-site Surgery in Urology: Initial Experience. J Endourol 23:1857–62 (2009).PubMedCrossRef Ryu DS, Park WJ, Oh TH. Retroperitoneal Laparoendoscopic Single-site Surgery in Urology: Initial Experience. J Endourol 23:1857–62 (2009).PubMedCrossRef
25.
Zurück zum Zitat White WM, Haber GP, Goel RK, et al. Single-port Urological Surgery: Single-Center Experience with the First 100 Cases. Urology 74:801–804 (2009).PubMedCrossRef White WM, Haber GP, Goel RK, et al. Single-port Urological Surgery: Single-Center Experience with the First 100 Cases. Urology 74:801–804 (2009).PubMedCrossRef
26.
Zurück zum Zitat Desai MM, Berger AK, Brandina R, et al. Laparoendoscopic Single-site Surgery: Initial Hundred Patients. Urology 74, 805–812 (2009).PubMedCrossRef Desai MM, Berger AK, Brandina R, et al. Laparoendoscopic Single-site Surgery: Initial Hundred Patients. Urology 74, 805–812 (2009).PubMedCrossRef
27.
Zurück zum Zitat White WM, Goel RK, Swartz MA, et al. Single-port Laparoscopic Abdominal Sacral Colpopexy: Initial Experience and Comparative Outcomes. Urology 74:1008–12 (2009).PubMedCrossRef White WM, Goel RK, Swartz MA, et al. Single-port Laparoscopic Abdominal Sacral Colpopexy: Initial Experience and Comparative Outcomes. Urology 74:1008–12 (2009).PubMedCrossRef
28.
Zurück zum Zitat Ganpule AP, Dhawan DR, Kurien A, et al. Laparoendoscopic Single-Site Donor Nephrectomy: A Single-center Experience. Urology 74:1238–40 (2009).PubMedCrossRef Ganpule AP, Dhawan DR, Kurien A, et al. Laparoendoscopic Single-Site Donor Nephrectomy: A Single-center Experience. Urology 74:1238–40 (2009).PubMedCrossRef
29.
Zurück zum Zitat Raybourn JH 3rd, Rane A, Sundaram CP. Laparoendoscopic Single-site Surgery for Nephrectomy as a Feasible Alternative to Traditional Laparoscopy. Urology 75:100–3 (2010).PubMedCrossRef Raybourn JH 3rd, Rane A, Sundaram CP. Laparoendoscopic Single-site Surgery for Nephrectomy as a Feasible Alternative to Traditional Laparoscopy. Urology 75:100–3 (2010).PubMedCrossRef
30.
Zurück zum Zitat Han WK, Park YH, Jeon HG, et al. The Feasibility of Laparoendoscopic Single-site Nephrectomy: Initial Experience using Home-made Single-port Device. Urology 76:862–5 (2010).PubMedCrossRef Han WK, Park YH, Jeon HG, et al. The Feasibility of Laparoendoscopic Single-site Nephrectomy: Initial Experience using Home-made Single-port Device. Urology 76:862–5 (2010).PubMedCrossRef
31.
Zurück zum Zitat Desai MM, Fareed K, Berger AK, et al. Single-port Transvesical Enucleation of the Prostate: a Clinical Report of 34 Cases. BJU Int 105:1296–1300 (2010).PubMedCrossRef Desai MM, Fareed K, Berger AK, et al. Single-port Transvesical Enucleation of the Prostate: a Clinical Report of 34 Cases. BJU Int 105:1296–1300 (2010).PubMedCrossRef
32.
Zurück zum Zitat White MA, Haber GP, Autorino R, et al. Robotic Laparoendoscopic Single-site Radical Prostatectomy: Technique and Early Outcomes. Eur Urol 58:544–50 (2010).PubMedCrossRef White MA, Haber GP, Autorino R, et al. Robotic Laparoendoscopic Single-site Radical Prostatectomy: Technique and Early Outcomes. Eur Urol 58:544–50 (2010).PubMedCrossRef
Metadaten
Titel
Selection of a Port for Use in Laparoendoscopic Single-siteSurgery
verfasst von
Rakesh Khanna
Michael A. White
Riccardo Autorino
Humberto K. Laydner
Wahib Isac
Bo Yang
Fatih Altunrende
Shahab P. Hillyer
Gregory Spana
Georges-Pascal Haber
Jihad H. Kaouk
Robert J. Stein
Publikationsdatum
01.04.2011
Verlag
Current Science Inc.
Erschienen in
Current Urology Reports / Ausgabe 2/2011
Print ISSN: 1527-2737
Elektronische ISSN: 1534-6285
DOI
https://doi.org/10.1007/s11934-011-0174-4

Weitere Artikel der Ausgabe 2/2011

Current Urology Reports 2/2011 Zur Ausgabe

Adjuvante Immuntherapie verlängert Leben bei RCC

25.04.2024 Nierenkarzinom Nachrichten

Nun gibt es auch Resultate zum Gesamtüberleben: Eine adjuvante Pembrolizumab-Therapie konnte in einer Phase-3-Studie das Leben von Menschen mit Nierenzellkarzinom deutlich verlängern. Die Sterberate war im Vergleich zu Placebo um 38% geringer.

Bei Senioren mit Prostatakarzinom auf Anämie achten!

24.04.2024 DGIM 2024 Nachrichten

Patienten, die zur Behandlung ihres Prostatakarzinoms eine Androgendeprivationstherapie erhalten, entwickeln nicht selten eine Anämie. Wer ältere Patienten internistisch mitbetreut, sollte auf diese Nebenwirkung achten.

Stufenschema weist Prostatakarzinom zuverlässig nach

22.04.2024 Prostatakarzinom Nachrichten

Erst PSA-Test, dann Kallikrein-Score, schließlich MRT und Biopsie – ein vierstufiges Screening-Schema kann die Zahl der unnötigen Prostatabiopsien erheblich reduzieren: Die Hälfte der Männer, die in einer finnischen Studie eine Biopsie benötigten, hatte einen hochgradigen Tumor.

Harnwegsinfektprophylaxe: Es geht auch ohne Antibiotika

20.04.2024 EAU 2024 Kongressbericht

Beim chronischen Harnwegsinfekt bei Frauen wird bisher meist eine Antibiotikaprophylaxe eingesetzt. Angesichts der zunehmenden Antibiotikaresistenz erweist sich das Antiseptikum Methenamin-Hippurat als vielversprechende Alternative, so die Auswertung einer randomisierten kontrollierten Studie.

Update Urologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.