First Italian Experience in Single-Incision Laparoscopic Nephrectomy: Current Italian Experience with Two Challenging Surgical Procedures

Publication:

Surgical Technology International XX - Urology

Article title:

First Italian Experience in Single-Incision Laparoscopic Nephrectomy: Current Italian Experience with Two Challenging Surgical Procedures

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Author(s)

Luca Cindolo, MD, FEBU
Consultant Urologist
Department of Urology
S.Pio da Pietrelcina Hospital
Vasto, Italy

Cesare Scoffone, MD
Consultant Urologist
Department of Urology
S.Luigi University Hospital
Orbassano, Italy

Luigi Salzano, MD
Chief Physician
Department of Urology
G.Rummo Hospital
Benevento, Italy

Riccardo Autorino, MD, PhD, FEBU
Assistant Professor of Urology
Clinica Urologica, AOU Policlinico
Seconda Universita degli Studi di Napoli
Napoli, Italy

Vincenzo Mirone, MD, PhD
Full Professor
Department of Urology
University of Naples
Naples, Italy

Luigi Schips, MD
Associate Professor and Chief Physician
Department of Urology
S.Pio da Pietrelcina Hospital
Vasto, Italy

Abstract

Since its initial clinical use in urology, there has been an increasing enthusiasm and a growing interest for laparoendoscopic single-site surgery (LESS). Several clinical series have been reported with an estimated cumulative clinical experience of more than four hundred so far. Nowadays, virtually all extirpative and reconstructive urological procedures have been described and shown to be feasible and safe, including advanced reconstructive procedures and major extirpative ones. Among them, adrenalectomy and partial nephrectomy represent highly complex procedures. Initial clinical data have been recently reported to test the safety and efficacy of these interventions in selected patients. Herein, we describe our initial cases of unclamp LESS partial nephrectomy and adrenalectomy. In our opinion, LESS is an established technique within the field of minimally invasive surgery. Even if further studies are needed to demonstrate its actual benefits, early clinical outcomes are encouraging and LESS might represent the way to go in minimally invasive urological surgery.