1 / 8

Nephron-Sparing LESS Technique: A Review and Analysis

This paper reviews a nephron-sparing technique known as LESS (Laparoendoscopic Single-Site Surgery) based on a study conducted from 09/2008 to 02/2012. The study involved 21 cases of LESS unclamp NSS, showcasing positive outcomes in terms of operative time, blood loss, port placement, scar size, and complications. The analysis of the literature includes insights from 7 studies with 104 cases, highlighting the potential benefits and cost-effectiveness of the LESS technique compared to standard laparoscopic procedures.

hastin
Download Presentation

Nephron-Sparing LESS Technique: A Review and Analysis

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. nephronsparing LESS: technique and review of the current literature Luca Cindolo, Francesco Greco, Francesco Berardinelli, Fabio Neri, Luigi Schips

  2. A B C D E F

  3. Unclamptechnique • From 09/2008 to 02/2012 • 21 LESS unclamp NSS • Mean age 59±12y; Mean BMI 25kg/m2 • 110 ± 43min mean operative time • 211 ± 205ml mean blood loss • 50% additional port • (2x 3mm; 5x 5mm) • 2.4±1 cm mean scar size

  4. 3 conversions to standard lap (2 bleeding and 1 better exposure) • No major intraoperative complications • No intra and postoperative transfusion • 3/20 postoperative complications • 1 Clavien II • 1 ClavienIIIa • 1 Clavien IV • 2.2/10 Pain Scale Score in POD1 • 4.2±2.2 days mean LOS

  5. No significant variation in eGFRand creatinne between baseline and last follow-up • 13 enthusiastic/very satisfied and 7 satisfied • 2.3cm mean tumor size

  6. Analysisof the literature • 7 studies; 104 cases LESS NSS • LESS technique duplicate the VLP • Intraoperative and postoperative variables overlapping the standard lap • Prospective studies to define the real benefits and the cost-effectiveness

  7. Analysisof the literature

More Related