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Mini-Laparoscopic Surgery and Hybrid LESS

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Atlas of Laparoscopic and Robotic Single Site Surgery

Part of the book series: Current Clinical Urology ((CCU))

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Abstract

In the last years, the availability of instruments ≤3 mm in size and the development of mini-scopes have renewed the interest for mini-laparoscopic and needlescopic surgery. The main purpose of this surgery is the minimisation of trauma-related access and of surgical morbidity.

It is with the same purpose that other innovative laparoscopic techniques such as LESS (laparo-endoscopic single-site surgery) have been proposed.

The aim of this chapter is to describe the surgical details of the mini-laparoscopic procedures that more commonly we perform at our institution (pyeloplasty, adrenalectomy, partial nephrectomy) and to present the role of mini-laparoscopy as an adjunct to LESS during nephrectomy.

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References

  1. Mamazza J, Schlachta CM, Seshadri PA, et al. Needlescopic surgery: a logical evolution from conventional laparoscopic surgery. Surg Endosc. 2001;15:1208–12.

    Article  CAS  PubMed  Google Scholar 

  2. Pini G, Porpiglia F, Micali S, Rassweiler J. Minilaparoscopy, needlescopy and microlaparoscopy: decreasing invasiveness, maintaining the standard laparoscopic approach. Arch Esp Urol. 2012;65(3):366–83.

    PubMed  Google Scholar 

  3. Kalloo AN, Singh VK, Jagannath SB, et al. Flexible transgastric peritoneoscopy: a novel approach to diagnostic and therapeutic interventions in the peritoneal cavity. Gastrointest Endosc. 2004;60:114–7.

    Article  PubMed  Google Scholar 

  4. Raman JD, Bensalah K, Bagrodia A, Stern JM, Cadeddu JA. Laboratory and clinical development of single keyhole umbilical nephrectomy. Urology. 2007;70:1039–44.

    Article  PubMed  Google Scholar 

  5. Autorino R, Yakoubi R, White WM, Gettman M, De Sio M, Quattrone C, Di Palma C, Izzo A, Correia-Pinto J, Kaouk JH, Lima E. Natural orifice transluminal endoscopic surgery (NOTES): where are we going? A bibliometric assessment. BJU Int. 2013;111(1):11–6.

    Article  PubMed  Google Scholar 

  6. Alcaraz A, Peri L, Molina A, Goicoechea I, Garcıa E, Izquierdo L, Ribal MJ. Feasibility of transvaginal NOTES-assisted laparoscopic nephrectomy. Eur Urol. 2010;57(2):233–7.

    Article  PubMed  Google Scholar 

  7. Humphrey JE, Canes D. Transumbilical laparoendoscopic single-site surgery in urology. Int J Urol. 2012;19(5):416–28.

    Article  PubMed  Google Scholar 

  8. Symes A, Rane A. Urological applications of single-site laparoscopic surgery. J Minim Access Surg. 2011;7(1):90–5.

    PubMed  PubMed Central  Google Scholar 

  9. Kaouk JH, Autorino A, Kim FJ, et al. Laparoendoscopic single-site surgery in urology: worldwide multi-institutional analysis of 1076 cases. Eur Urol. 2011;60:998–1005.

    Article  PubMed  Google Scholar 

  10. Tsai YC, Wu CC, Yang SSD. Minilaparoscopic nerve-sparing extravesical ureteral reimplantation for primary vesicoureteral reflux: a preliminary report. J Laparoendosc Adv Surg Tech. 2008;18(5):767–70.

    Article  Google Scholar 

  11. Soble JJ, Gill IS. Needlescopic urology: incorporating 2-mm instruments in laparoscopic surgery. Urology. 1998;52:187–94.

    Article  CAS  PubMed  Google Scholar 

  12. Tan HL. Laparoscopic anderson-hynes dismembered pyeloplasty in children using needlescopic instrumentation. Urol Clin North Am. 2001;28(1):43–51.

    Article  CAS  PubMed  Google Scholar 

  13. Pini G, Goezen AS, Shulze M, Hruza M, Klein J, Rassweiler JJ. Small incision access retroperitoneoscopic technique (SMART) pyeloplasty in adult patients: comparison of cosmetic and post operative pain outcomes in a matched pair analysis with standard retroperitoneoscopy: preliminary report. World J Urol. 2012;30(5):605–11.

    Article  PubMed  Google Scholar 

  14. Gill IS, Soble JJ, Sung GT, Winfield HN, Bravo EL, Novick AC. Needlescopic adrenalectomy—the initial series: comparison with conventional laparoscopic adrenalectomy. Urology. 1998;52:180–6.

    Article  CAS  PubMed  Google Scholar 

  15. Chueh SC, Chen J, Chen SC, Liao CH, Lai MK. Clipless laparoscopic adrenalectomy with needlescopic instruments. J Urol. 2002;167:39–43.

    Article  PubMed  Google Scholar 

  16. Liao C-H, Lai M-K, Li H-Y, Chen S-C, Chueh S-C. Laparoscopic adrenalectomy using needlescopic instruments for adrenal tumors less than 5 cm in 112 cases. Eur Urol. 2008;54:640–6.

    Google Scholar 

  17. Porpiglia F, Morra I, Bertolo R, Manfredi M, Mele F, Fiori C. Pure mini-laparoscopic transperitoneal pyeloplasty in an adult population: feasibility, safety, and functional results after one year of follow-up. Urology. 2012;79(3):728–32.

    Article  PubMed  Google Scholar 

  18. Fiori C, Morra I, Bertolo R, Mele F, Chiarissi ML, Porpiglia F. Standard vs mini-laparoscopic pyeloplasty: perioperative outcomes and cosmetic results. BJU Int. 2013;111(3):E121–6. Epub 2012 Jul 12.

    Article  PubMed  Google Scholar 

  19. Fiori C, Morra I, Di Stasio A, Grande S, Scarpa RM, Porpiglia F. Flexible pneumocystoscopy for double J stenting during laparoscopic and robot assisted pyeloplasty: our experience. Int J Urol. 2010;17(2):192–4.

    Article  PubMed  Google Scholar 

  20. Porpiglia F, Billia M, Volpe A, Morra I, Scarpa RM. Transperitoneal left laparoscopic pyeloplasty with transmesocolic access to the pelvi-ureteric junction: technique description and results with a minimum follow-up of 1 year. BJU Int. 2007;101:1024–8.

    Article  PubMed  Google Scholar 

  21. Porpiglia F, Fiori C, Bertolo R, Cattaneo G, Amparore D, Morra I, Didio M, De Luca S, Scarpa RM. Mini-retroperitoneoscopic adrenalectomy: our experience after 50 procedures. Urology. 2014;84(3):596–601.

    Google Scholar 

  22. Ljungberg B, Cowan NC, Hanbury DC, Hora M, Kuczyk MA, Merseburger AS, Patard JJ, Mulders PF, Sinescu IC, European Association of Urology Guideline Group. EAU guidelines on renal cell carcinoma: the 2010 update. Eur Urol. 2010;58(3):398–406.

    Article  PubMed  Google Scholar 

  23. Khalifeh A, Autorino R, Hillyer SP, Laydner H, Eyraud R, Panumatrassamee K, Long JA, Kaouk JH. Comparative outcomes and assessment of trifecta in 500 robotic and laparoscopic partial nephrectomy cases: a single surgeon experience. J Urol. 2013;189(4):1236–42.

    Article  PubMed  Google Scholar 

  24. Autorino R, Cadeddu JA, Desai MM, et al. Laparoendoscopic single site and natural orifice transluminal endoscopic surgery in urology: a critical analysis of the literature. Eur Urol. 2011;59:26–45.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Division of Urology, Department of Oncology, School of Medicine-University of Turin, “San Luigi” Hospital, Regione Gonzole 10, Orbassano, Turin, 10043, Italy

    Francesco Porpiglia MD & Cristian Fiori

Authors
  1. Francesco Porpiglia MD
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  2. Cristian Fiori
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Corresponding author

Correspondence to Francesco Porpiglia MD .

Editor information

Editors and Affiliations

  1. Professor of Surgery, Department of Urology Cleveland Clinic Lerner, College of Medicine, Zagarek Pollock Chair in Robotic Surgery, Center for Robotic and Image guided Surgery, Glickman Urologic Institute, Cleveland, Ohio, USA

    Jihad H. Kaouk

  2. Associate Professor of Surgery, Department of Urology, Center for Robotic and Image Guided Surgery, Glickman Urological and Kidney Institute Cleveland Clinic, Cleveland, Ohio, USA

    Robert J. Stein

  3. Associate Staff, Department of Urology, Center for Robotic and Image Guided Surgery, Glickman Urological Institute Cleveland Clinic, Cleveland, Ohio, USA

    Georges-Pascal Haber

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Porpiglia, F., Fiori, C. (2017). Mini-Laparoscopic Surgery and Hybrid LESS. In: Kaouk, J., Stein, R., Haber, GP. (eds) Atlas of Laparoscopic and Robotic Single Site Surgery. Current Clinical Urology. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-3575-8_18

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  • DOI: https://doi.org/10.1007/978-1-4939-3575-8_18

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  • Publisher Name: Humana Press, New York, NY

  • Print ISBN: 978-1-4939-3573-4

  • Online ISBN: 978-1-4939-3575-8

  • eBook Packages: MedicineMedicine (R0)

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