Current status of natural orifice trans-endoscopic surgery (NOTES) and laparoendoscopic single site surgery (LESS) in urologic surgery

• Published in: International Brazilian journal of urology 2010-08, Vol.36 (4), p.385-400
• Main Authors: Sanchez-Salas, Rafael E., Barret, Eric, Watson, John, Stakhovskyi, Oleksandr, Cathelineau, Xavier, Rozet, Francois, Galiano, Marc, Rane, Abhay, Desai, Mihir M., Sotelo, Rene, Vallancien, Guy
• Format: Article
• Language: English
• Subjects: laparoscopy; LESS; minimally invasive procedures; robotic surgery; urology
• ISSN: 1677-5538; 1677-5538; 1677-6119
• DOI: 10.1590/S1677-55382010000400002

Laparoendoscopic single site surgery (LESS) and natural orifice transluminal endoscopic surgery (NOTES) represent novel approaches in urological surgery. To perform a review of the literature in order describe the current status of LESS and NOTES in Urology. References for this manuscript were obtained by performing a review of the available literature in PubMed from 01-01-02 to 15-05-09. Search terms included single port, single site, NOTES, LESS and single incision. A total of 412 manuscripts were initially identified. Out of these, 64 manuscripts were selected based in their urological content. The manuscript features subheadings for experimental and clinical studies, as NOTES-LESS is a new surgical technique and its future evolution will probably rely in initial verified feasibility. A subheading for reviews presents information regarding common language and consensus for the techniques. The issue of complications published in clinical series and the future needs of NOTES-LESS, are also presented.