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Single‐port ‘scarless’ laparoscopic nephrectomies: the United Kingdom experience
Author(s) -
Rane Abhay,
Ahmed Shwan,
Kommu Sashi S.,
Anderson Christopher J.,
Rimington Peter D.
Publication year - 2009
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1111/j.1464-410x.2009.08399.x
Subject(s) - convalescence , medicine , umbilicus (mollusc) , nephrectomy , laparoscopy , surgery , blood loss , port (circuit theory) , general surgery , kidney , electrical engineering , engineering
OBJECTIVE To present the UK experience to date with laparoendoscopic single‐site surgery (LESS) simple nephrectomy. PATIENTS AND METHODS Five female patients underwent LESS nephrectomy; three procedures were carried out with the umbilicus as the port of entry (U‐LESS). RESULTS All cases were completed uneventfully. The operative duration was 45–150 min and blood loss was negligible. There were no conversions to conventional multi‐port laparoscopy or open surgery. Recovery was uneventful with only minor complications in two patients; convalescence was rapid. CONCLUSION LESS nephrectomy offers a safe, cosmetic alternative to conventional multi‐port laparoscopy, with younger female patients being especially happier with the ‘scarless’ outcome of U‐LESS. LESS certainly appears to be more in these situations.
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