USC Institute of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Curr Opin Urol. 2010 Mar;20(2):141-7. doi: 10.1097/MOU.0b013e32833625a3.
To analyze the current literature regarding advances in laparoscopic single-site (LESS) surgery in urology.
Since its initial urologic description in 2007, there has been a surge of interest in LESS surgery. Published descriptions of LESS procedures now include virtually all extirpative and reconstructive urologic procedures. Novel instrumentation and techniques have been developed that offset many of the inherent increased technical demands with LESS surgery. Substantial clinical data have recently been reported that attest to the safety and efficacy of LESS surgery in select patients. Initial data have also been reported comparing morbidity outcomes with standard laparoscopy.
LESS is now an established technique within the field of minimally invasive urologic surgery. Further study is needed to determine the true benefits of the technique and the extent of its clinical application. Further refinements in technology will likely be needed before the widespread adoption of LESS.
分析目前关于泌尿外科腹腔镜单部位（LESS）手术进展的文献。
自 2007 年首次在泌尿外科领域描述以来，LESS 手术引起了广泛关注。目前发表的 LESS 手术描述几乎包括了所有的根治性和重建性泌尿外科手术。已经开发出了新的仪器和技术，克服了 LESS 手术固有的许多增加的技术需求。最近有大量的临床数据报告证明了 LESS 手术在特定患者中的安全性和有效性。最初的数据也报告了与标准腹腔镜相比，发病率结果的比较。
LESS 现在是微创泌尿外科领域的一项成熟技术。需要进一步研究以确定该技术的真正益处及其临床应用范围。在广泛采用 LESS 之前，可能需要对技术进行进一步改进。
