Rais-Bahrami Soroush, Kavoussi Louis R, Richstone Lee
The Arthur Smith Institute for Urology, The Hofstra-North Shore LIJ School of Medicine, New Hyde Park, NY 11040, USA.
Arch Esp Urol. 2012 Apr;65(3):311-7.
LaparoEndoscopic Single-Site (LESS) nephroureterectomy is a recent iteration of laparoscopic renal surgery whereby the minimally-invasive approach of laparoscopy has been condensed to a single operative access site in efforts to minimize convalescence and improve cosmesis. To date, LESS nephroureterectomy has been reported successful for both adult and pediatric patient populations, most commonly for treatment of upper tract urothelial carcinoma in adults. For the treatment of upper tract urothelial carcinomas, comparative oncologic effectiveness of LESS compared to conventional laparoscopy or open surgery is pending further investigation. Overall, LESS nephroureterectomy has proven its role as a feasible and safe option of minimally-invasive surgery, minimizing the number and length of the surgical incisions used.
经自然腔道内镜手术单孔（LESS）肾输尿管切除术是腹腔镜肾脏手术的最新术式，通过将腹腔镜的微创方法集中于单一手术入路部位，以尽量减少康复时间并改善美观效果。迄今为止，LESS肾输尿管切除术已在成人和儿童患者群体中均被报道成功实施，最常见于成人上尿路尿路上皮癌的治疗。对于上尿路尿路上皮癌的治疗，LESS与传统腹腔镜手术或开放手术相比的肿瘤学疗效仍有待进一步研究。总体而言，LESS肾输尿管切除术已证明其作为一种可行且安全的微创手术选择的作用，减少了手术切口的数量和长度。
