Training for laparoendoscopic single-site surgery (LESS)

International Journal of Surgery
Enrico Mattana MüllerMaurício Brun

Abstract

Laparoendoscopic single-site surgery (LESS) is a laparoscopic surgery in which a single small incision is made, associated with the use of a special device (single-port), or several small incisions grouped in one location (single-incision) are made, through which the laparoscopic trocars are inserted. The incision is made in the abdomen, preferably in the umbilicus. Certain peculiarities are noted in this approach, such as the difficulty, and sometimes the impossibility, of centering the image, the need to move both the camera and instruments together, requiring even more delicate and precise movements than in laparoscopy. Since information on training for LESS is scarce in the current literature, the authors report their experience with five different cases of this nature, performed in two porcine models, and then discuss a training plan for LESS. Five LESS procedures were performed in two pigs using different training techniques: two (one single-port and one single-incision) transumbilical laparoscopic cholecystectomies; one right-sided single-incision laparoscopic radical nephrectomy; one single-incision transumbilical laparoscopic radical nephrectomy; and one single-port transumbilical laparoscopic nephrectomy. Different fr...Continue Reading

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Sep 22, 2012·Der Urologe. Ausg. A·C SchwentnerG Gakis
Aug 24, 2012·Journal of Endourology·Christian SchwentnerGeorgios Gakis
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Feb 14, 2018··Danica Mitch M. PacisNilo T. Bugtai

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