The LESS (Laparo-endoscopic Single-Site) procedure in urology. Technical and clinical aspects].

BACKGROUND: Minimally invasive urology is rapidly advancing, and single-site laparoscopic surgery is being explored clinically. Such laparoscopic procedures are technically challenging and require an experienced laparoscopic surgeon due to the lack of port placement triangulation and instrument clashing. METHODS: In the last years several surgeons all over the world have explored the feasibility and safety of LESS using several and different ports, approaches and devices. Hundreds of procedures have been described with overall favorable intraoperative and postoperative outcomes. RESULTS: Our experience consists of more than 30 procedures successfully completed for adrenal, kidney disease and varicocele. CONCLUSIONS: To date, LESS could be considered feasible and effective using currently available devices, however it is to be considered as an initial status technique requiring further confirmatory studies and advanced laparoscopic skills.