The Comparison of Robotic Single-Site Surgery to Single-Port Laparoendoscopic Surgery for the Treatment of Advanced-Stage Endometriosis

Laparoendoscopic single site surgery (LESS) is a new avenue in laparoscopic urology. The main advantage is the enhanced cosmetic benefits of single hidden scar. Lately many papers are being published on various procedures done by LESS. Like conventional laparoscopy, this approach is likely to be used more widely and hence exposure to this field is essential. However, formal training in this technique is not widely available. Expensive ports and nonavailability of endotrainer may be the factors deterring the training. We have modified the standard laparoscopic endotrainer with improvised ports, to make it suitable for single port laparoscopic training. For the animal lab training improvised ports and low cost instruments were used. Thus the overall cost of the training in LESS was reduced, and better confidence levels were achieved prior to human applications.

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Fundamentals of the Robotic Assisted Laparoscopic Single Port System and Utility in Minor Gynecologic Surgery

10.5772/intechopen.96588 ◽

2021 ◽

Author(s):

John R. Wagner

Keyword(s):

Robotic Surgery ◽

Single Port ◽

Single Site ◽

Gynecologic Surgery ◽

Tips And Tricks ◽

Simple Method ◽

Umbilical Incision ◽

Advantages And Disadvantages ◽

Port System ◽

Single Site Surgery

This chapter will introduce the single port robotic system. Topics include an introduction to the robotic single site port, the trocars, and the single site instruments. Step-by-step instruction is provided on how to create the umbilical incision and properly insert the single site port and trocars. The advantages and disadvantages of single port robotic surgery compared to multiple port robotic surgery and laparoscopic single site surgery are reviewed. Surgical tips and tricks are provided throughout each section to maximize efficiency, minimize complications, and overcome inherent limitations of the robotic single site system. The utility of the robotic single site platform for performing minor gynecologic surgery is discussed. Finally, a simple method for umbilical closure is described.

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Current Limitations and Perspectives in Single Port Surgery: Pros and Cons Laparo-Endoscopic Single-Site Surgery (LESS) for Renal Surgery

Diagnostic and Therapeutic Endoscopy ◽

10.1155/2010/759431 ◽

2010 ◽

Vol 2010 ◽

pp. 1-3 ◽

Cited By ~ 11

Author(s):

Peter Weibl ◽

Hans-Christoph Klingler ◽

Tobias Klatte ◽

Mesut Remzi

Keyword(s):

Single Port ◽

Kidney Diseases ◽

Surgical Techniques ◽

Single Site ◽

Renal Surgery ◽

Single Port Surgery ◽

Working Space ◽

Standard Laparoscopy ◽

Pros And Cons ◽

Single Site Surgery

Laparo-Endoscopic Single-Site surgery (LESS) for kidney diseases is quickly evolving and has a tendency to expand the urological armory of surgical techniques. However, we should not be overwhelmed by the surgical skills only and weight it against the basic clinical and oncological principles when compared to standard laparoscopy. The initial goal is to define the ideal candidates and ideal centers for LESS in the future. Modification of basic instruments in laparoscopy presumably cannot result in better functional and oncological outcomes, especially when the optimal working space is limited with the same arm movements. Single port surgery is considered minimally invasive laparoscopy; on the other hand, when using additional ports, it is no more single port, but hybrid traditional laparoscopy. Whether LESS is a superior or equally technique compared to traditional laparoscopy has to be proven by future prospective randomized trials.

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