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• W2100030534 abstract "No AccessJournal of UrologyLaparoscopic/Robotic Surgery1 Oct 2011Laparoscopic Single Site Surgery: Initial Experience and Description of Techniques in the Pediatric Population Stanislav Kocherov, Genady Lev, Ofer Z. Shenfeld, and Boris Chertin Stanislav KocherovStanislav Kocherov More articles by this author , Genady LevGenady Lev More articles by this author , Ofer Z. ShenfeldOfer Z. Shenfeld More articles by this author , and Boris ChertinBoris Chertin More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.03.100AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Recently new approaches to laparoscopic surgery, named natural orifice transluminal endoscopy and laparoendoscopic single site surgery, have been proposed to improve the cosmesis and decrease the morbidity associated with multiple ports sites. Experience with laparoendoscopic single site surgery technique in pediatric urology is still limited. We present our initial results with this technique in children. Materials and Methods: Since laparoendoscopic single site surgery received Food and Drug Administration approval, 11 patients have undergone a total of 14 procedures at our department, including nephrectomy due to nonfunctioning kidneys in 4, removal of bilateral intra-abdominal gonads in 2, unilateral varicocelectomy in 4 and bilateral varicocelectomy in 1. In all patients a multi-channel single laparoscopic port inserted through a 2 cm skin incision was used to achieve access to the abdominal cavity. Results: All patients underwent laparoendoscopic single site surgery without complications within a reasonable operative time. None required conversion to open or conventional laparoscopic surgery. All except 1 patient were discharged home on the day of surgery or the day after surgery. Conclusions: Our initial data show that laparoendoscopic single site surgery is an effective technique for various pediatric and adolescent urology indications. Further application of this procedure in a large patient group will show whether there is a place for laparoendoscopic single site surgery in the pediatric urology surgical armamentarium. References 1 : Transperitoneal laparoscopic radical nephrectomy is an effective procedure for large (more than 7 cm) renal masses. Surg Laparosc Endosc Percut Tech2009; 19: 353. Google Scholar 2 : Current limitations and perspectives in single port surgery: pros and cons of laparo-endoscopic single-site surgery (LESS) for renal surgery. Diagn Therap Endosc2010; : 759431. Google Scholar 3 : Laparoscopic nephrectomy in the first year of life. J Pediatr Surg1993; 28: 693. Google Scholar 4 : Retroperitoneal laparoscopic nephrectomy in children: at last the gold standard?. J Pediatr Urol2006; 2: 357. Google Scholar 5 : Single-port urological surgery: single-center experience with the first 100 cases. Urology2009; 74: 801. Google Scholar 6 : Laparoendoscopic single-site surgery in urology: where have we been and where are we heading?. Nat Clin Pract2008; 5: 561. Google Scholar 7 : The use of laparoscopy in intersex patients. Pediatr Surg Inter2006; 22: 405. Google Scholar 8 : Pediatric transperitoneal laparoscopic partial nephrectomy: comparison with an age matched group undergoing open surgery. Pediatr Surg Inter2007; 23: 1233. Google Scholar 9 : Transumbilical single-port surgery: evolution and current status. Eur Urol2008; 54: 1020. Google Scholar 10 : NOTES transvaginal nephrectomy: first human experience. Urology2009; 74: 5. Google Scholar 11 : Single-port laparoscopic surgery: initial experience in children for varicocelectomy. BJU Int2007; 102: 97. Google Scholar 12 : Pediatric single-port-access nephrectomy for a multicystic, dysplastic kidney. J Pediatr Urol2009; 5: 402. Google Scholar 13 : Pediatric laparoendoscopic single-site partial nephrectomy: initial report. Urology2010; 76: 138. Google Scholar 14 : Pediatric transumbilical laparoendoscopic single-site nephroureterectomy: initial report. Urology2009; 74: 1116. Google Scholar 15 : Early experience with laparoendoscopic single-site surgery in the pediatric urology patient population. J Endourol2010; 24: 1321. Google Scholar 16 : Laparoendoscopic single-site nephrectomy in pediatric patients: initial clinical series of infants to adolescents. Urology2010; 76: 1457. Google Scholar 17 : Single trocar laparoscopic nephrectomy using magnetic anchoring and guidance system in the porcine model. J Urol2007; 178: 288. Link, Google Scholar 18 : Single-port laparoscopic and robotic partial nephrectomy. Eur Urol2009; 55: 1163. Google Scholar Department of Pediatric Urology, Shaare Zedek Medical Center, Faculty of the Medicine, Hebrew University, Jerusalem, Israel© 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 186Issue 4SOctober 2011Page: 1653-1657 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.KeywordsinstrumentationlaparoscopykidneygonadsnephrectomyMetricsAuthor Information Stanislav Kocherov More articles by this author Genady Lev More articles by this author Ofer Z. Shenfeld More articles by this author Boris Chertin More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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• W2100030534 title "Laparoscopic Single Site Surgery: Initial Experience and Description of Techniques in the Pediatric Population" @default.
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