Indian Journal of Urology Users online:387  
IJU
Home Current Issue Ahead of print Editorial Board Archives Symposia Guidelines Subscriptions Login 
Print this page  Email this page Small font sizeDefault font sizeIncrease font size


 
  Table of Contents 
SYMPOSIUM-EDITORIAL
Year : 2012  |  Volume : 28  |  Issue : 1  |  Page : 53
 

LESS in urology


1 Department of Urology, Mamata Hospital, Dombivli, Thane, Maharashtra, India
2 Department of Urology, Muljibhai Patel Urological Hospital, Nadiad, Gujarat, India

Date of Web Publication12-Apr-2012

Correspondence Address:
Pradeep P Rao
Department of Urology, Mamata Hospital, Dombivli, Thane, Maharashtra
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.94957

Rights and Permissions

 

How to cite this article:
Rao PP, Desai MR. LESS in urology. Indian J Urol 2012;28:53

How to cite this URL:
Rao PP, Desai MR. LESS in urology. Indian J Urol [serial online] 2012 [cited 2019 May 21];28:53. Available from: http://www.indianjurol.com/text.asp?2012/28/1/53/94957


"The only constant is change" (Heraclitus, a Greek Philosopher, 500 BC)

Since the first cases using a single port/single site access were performed in 2007, these techniques have come a long way. The nomenclature of LESS, bringing these procedures under one umbrella, was bestowed in 2008 by the LESSCAR group. This terminology was accepted and incorporated by what is now the LESS/NOTES working group of the Endourology Society. This group has been at the forefront of forming a registry of and documenting complications arising from all such procedures in urology.

Most procedures in urological laparoscopy are fairly complex and do not lend themselves easily to what is undoubtedly a more technically challenging surgery than standard laparoscopy. In spite of this, we have published data of more than 2000 cases in peer reviewed journals in the last 4 years. Although LESS is now an established technique added to the armamentarium of minimal access surgery, questions remain. Does this technique bring anything worthwhile to the patient? Will it be easily reproducible by smaller volume centers where the learning curve will be harder to overcome? Will this technique be able to surpass the gold standard that is standard laparoscopy today? Will the long-term results show oncological efficacy similar to that of standard laparoscopy which has almost 20 years of data today?

Most importantly, will this technique continue to progress? Improvement in access devices and instruments is essential. Newer materials, improved articulating instruments, and robotics will be required to drive the future of LESS as well as increasingly minimal invasive surgery.

We hope that these excellent articles from a few of the thought leaders in this field will go some way toward shedding light on these issues.




 

Top
Print this article  Email this article
 

    

 
   Search
 
  
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Article in PDF (218 KB)
    Citation Manager
    Access Statistics
    Reader Comments
    Email Alert *
    Add to My List *
* Registration required (free)  



 Article Access Statistics
    Viewed1338    
    Printed79    
    Emailed0    
    PDF Downloaded173    
    Comments [Add]    

Recommend this journal

HEALTHWARE INDIA