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Laparoendoscopic single-site surgery (LESS) for major urological procedures in the pediatric population: A systematic review.

Publication ,  Journal Article
Symeonidis, EN; Nasioudis, D; Economopoulos, KP
Published in: International journal of surgery (London, England)
May 2016

Improvements in laparoscopic surgery have led to the introduction of laparoendoscopic single-site surgery (LESS) as an alternative to conventional laparoscopy conferring a number of possible advantages. In this review, we aim to elucidate the aspects of LESS for major urological procedures in the pediatric population.An in-depth search of the literature was performed in the databases of PubMed and Scopus, for studies investigating the technical aspects and clinical outcomes of partial nephrectomies, nephrectomies, nephroureterectomies, varicocelectomies and pyeloplasties in children. Data on parameters such as operation time, instrumentation, perioperative complications, hospital stay and follow up period were collected and further analyzed cumulatively.Twenty nine studies met the inclusion criteria incorporating 386 patients who underwent 401 procedures. There were no major intraoperative complications, with only 19 patients (4.73%) facing postoperative complications. No perioperative deaths were reported.In the hands of experienced surgeons LESS seems a feasible, efficient and less invasive alternative to standard laparoscopy in the field of pediatric urology. There is an eminent need of well-designed randomized controlled trials comparing the two techniques.

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Published In

International journal of surgery (London, England)

DOI

EISSN

1743-9159

ISSN

1743-9191

Publication Date

May 2016

Volume

29

Start / End Page

53 / 61

Related Subject Headings

  • Urologic Surgical Procedures
  • Urologic Diseases
  • Ureter
  • Treatment Outcome
  • Surgery
  • Postoperative Complications
  • Plastic Surgery Procedures
  • Operative Time
  • Nephrectomy
  • Male
 

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Symeonidis, E. N., Nasioudis, D., & Economopoulos, K. P. (2016). Laparoendoscopic single-site surgery (LESS) for major urological procedures in the pediatric population: A systematic review. International Journal of Surgery (London, England), 29, 53–61. https://doi.org/10.1016/j.ijsu.2016.03.040
Symeonidis, Evangelos N., Dimitrios Nasioudis, and Konstantinos P. Economopoulos. “Laparoendoscopic single-site surgery (LESS) for major urological procedures in the pediatric population: A systematic review.International Journal of Surgery (London, England) 29 (May 2016): 53–61. https://doi.org/10.1016/j.ijsu.2016.03.040.
Symeonidis EN, Nasioudis D, Economopoulos KP. Laparoendoscopic single-site surgery (LESS) for major urological procedures in the pediatric population: A systematic review. International journal of surgery (London, England). 2016 May;29:53–61.
Symeonidis, Evangelos N., et al. “Laparoendoscopic single-site surgery (LESS) for major urological procedures in the pediatric population: A systematic review.International Journal of Surgery (London, England), vol. 29, May 2016, pp. 53–61. Epmc, doi:10.1016/j.ijsu.2016.03.040.
Symeonidis EN, Nasioudis D, Economopoulos KP. Laparoendoscopic single-site surgery (LESS) for major urological procedures in the pediatric population: A systematic review. International journal of surgery (London, England). 2016 May;29:53–61.
Journal cover image

Published In

International journal of surgery (London, England)

DOI

EISSN

1743-9159

ISSN

1743-9191

Publication Date

May 2016

Volume

29

Start / End Page

53 / 61

Related Subject Headings

  • Urologic Surgical Procedures
  • Urologic Diseases
  • Ureter
  • Treatment Outcome
  • Surgery
  • Postoperative Complications
  • Plastic Surgery Procedures
  • Operative Time
  • Nephrectomy
  • Male