Laparo-endoscopic single site (LESS) management of XXXX : evaluation of complications.

@entity1 @entity3617 @entity8 @entity548 @entity565 @entity547 @entity2885
BACKGROUND: To present our experience with Laparo-Endoscopic Single Site (LESS) management of @entity8 . MATERIAL AND METHOD: Between September 2008 and November 2009, 18 @entity1 underwent single port transumbilical laparoscopic surgery for nephrectomy for a nonfunctioning kidney (7 cases), cyst decortications for symptomatic @entity8 (10 cases), and redo-dismembered pyeloplasty with previously failed laparoscopic surgical repair (1 case). @entity1 underwent surgery through a single 2-cm infraumbilical incision with the triport laparoscopic-port. All pathological reports of LESS nephrectomy and cyst decortications confirmed with chronic @entity2885 and simple cysts, respectively Histology of xanthogranulomotus @entity2885 showed two cases of the nephrectomy procedure. RESULTS: Mean @entity1 age and BMI were 61 +/- SD 14.2 years and 24.75 +/- SD 11.2 kg/m2, respectively Mean operating time was 187.7 +/- SD 71.4 min. LESS was a possible and safe approach in 77.8% of @entity1 . All LESS cyst decortications and redo-pyeloplasty were completed without major complications or conversion to open surgery. However, there was one case each of LESS cyst decortication and pyeloplasty requiring an additional 3-mm port for suturing due to @entity548 and an instrument error. For LESS nephrectomy, two (28.6%) with higher waist circumference were converted to standard laparoscopic nephrectomy due to failure to progress. One post operative complication of incisional @entity547 occurred in a @entity1 with chronic @entity3617 and @entity565 . CONCLUSION: LESS for the management of @entity8 is an effective and safe treatment option with selected @entity1 and experienced surgeon.
