Abstract:In the past twenty years, the laparoscopic surgery had been applied in diverse urological diseases. Compared to open surgery, the laparoendoscopic operations are accompanied by minor surgical trauma, faster recovery and fewer complications. The introduction of laparoendoscopic single-site surgery (LESS) and natural orifice transluminal endoscopic surgery (NOTES) have offered reduced pain and improved cosmetic satisfaction to patients. LESS can not only improve the effect of cosmetology, but also reduce postoperative pain and trocar-related complications. Scarless nephrectomy has been realized with transvaginal natural orifice transluminal endoscopic surgery in women. The development of surgical robots has decreased the technical difficulty of complicated procedures, shortened the learning curve, and improved perioperative outcomes relative to laparoscopic surgery.
[1]Hirano D, Minei S, Yamaguchi K, et al. Retroperitoneoscopic adrenalectomy for adrenal tumors via a single large port. J Endourol,2005, 19(7): 788-792. [2]Raman JD, Bensalah K, Bagrodia A, et al. Laboratory and clinical development of single keyhole umbilical nephrectomy. Urology, 2007, 70(6): 1039-1042. [3]Kaouk JH, Goel RK, Haber GP, et al. Single-port laparoscopic radical prostatectomy. Urology 2008, 72(6): 1190-1193. [4]Desai MM, Aron M, Canes D, et al. Single-port transvesical simple prostatectomy: Initial clinical report. Urology, 2008, 72(2): 960-965. [5]Autorino R, Kaouk JH, Yakoubi R, et al. Urological laparoen-doscopic single site surgery: Multi-institutional analysis of risk factors for conversion and postoperative complications. J Urol, 2012, 187(6): 1989-1994. [6]Kurien A, Rajapurkar S, Sinha L, et al. First prize: Standard laparoscopic donor nephrectomy versus laparoendoscopic single-site donor nephrectomy: A randomized comparative study. J Endourol, 2011, 25(3): 365-370. [7]Tugcu V, Ilbey YO, Mutlu B, et al. Laparoendoscopic single-site surgery versus standard laparoscopic simple nephrectomy: A prospective randomized study. J Endourol, 2010, 24(8): 1315-1320. [8]Lee SW, Lee JY, Kim KH, et al. Laparoendoscopic single-site surgery versus conventional laparoscopic varicocele ligation in men with palpable varicocele: A randomized, clinical study. Surg Endosc, 2012, 26(4): 1056-1062. [9]Fan X, Lin T, Xu K, et al. Laparoendoscopic single-site nephrectomy compared with conventional laparoscopic nephrectomy: A systematic review and meta-analysis of comparative studies. Eur Urol, 2012, 62(4): 601-612. [10]Jeong BC, Park YH, Han DH, et al. Laparoendoscopic single-site and conventional laparoscopic adrenalectomy: A matched case-control study. J Endourol, 2009, 23(12): 1957-1960. [11]Shi TP, Zhang X, Ma X, et al. Laparoendoscopic single-site retroperitoneoscopic adrenalectomy: A matched-pair com-parison with the gold standard. Surg Endosc, 2011, 25(7): 2117-2124. [12]Wang L, Liu B, Wu Z, et al. Comparison of single-surgeon series of transperitoneal laparoendoscopic single-site surgery and standard laparoscopic adrenalectomy. Urology, 2012, 79(3): 577-583. [13]Park SK, Olweny EO, Best SL, et al. Patient-reported body image and cosmesis outcomes following kidney surgery: Comparison of laparoendoscopic single-site, laparoscopic, and open surgery. Eur Urol, 2011, 60(5): 1097-1104. [14]Dong J, Zu Q, Shi L, et al. Retroperitoneal laparoendoscopic single-site radical nephrectomy using a low-cost, self-made device: initial experience with 29 cases. Surg Innov, 2013, 20(4):403-410. [15]Gettman MT, Lotan Y, Napper CA, et al. Transvaginal laparoscopic nephrectomy: Development and feasibility in the porcine model. Urology, 2002, 59(3): 446-450. [16]Branco AW, Branco Filho AJ, Kondo W, et al. Hybrid trans-vaginal nephrectomy. Eur Urol, 2008, 53(6): 1290-1294. [17]Kaouk JH, Haber GP, Goel RK, et al. Pure natural orifice translumenal endoscopic surgery (NOTES) transvaginal nephrectomy. Eur Urol, 2010, 57(4): 723-726. [18]Alcaraz A, Peri L, Molina A, et al. Feasibility of transvaginal NOTES-assisted laparoscopic nephrectomy. Eur Urol, 2010, 57(2): 233-237. [19]Alcaraz A, Musquera M, Peri L, et al. Feasibility of transvagi-nal natural orifice transluminal endoscopic surgery-assisted living donor nephrectomy: Is kidney vaginal delivery the approach of the future? Eur Urol, 2011, 59(6): 1019-1025. [20]Kaouk JH, Khalifeh A, Laydner H, et al. Transvaginal hybrid natural orifice transluminal surgery robotic donor nephrectomy: First clinical application. Urology, 2012, 80(6): 1171- 1175. [21]Porpiglia F, Fiori C, Morra I, et al. Transvaginal natural orifice transluminal endoscopic surgery-assisted minilaparoscopic nephrectomy: A step towards scarless surgery. Eur Urol, 2011, 60(4): 862-866. [22]Lima E, Rolanda C, Correia-Pinto J. Transvesical endoscopic peritoneoscopy: Intra-abdominal scarless surgery for urologic applications. Curr Urol Rep, 2008, 9(1): 50-54. [23]Gettman MT, Blute ML. Transvesical peritoneoscopy: Initial clinical evaluation of the bladder as a portal for natural orifice translumenal endoscopic surgery. Mayo Clin Proc, 2007, 82(7): 843-845. [24]Humphreys MR, Sauer JS, Ryan AR, et al. Natural orifice transluminal endoscopic radical prostatectomy: Initial perioperative and pathologic results. Urology, 2011, 78(6): 1211-1217. [25]Abbou CC, Hoznek A, Salomon L, et al. Remote laparoscopic radical prostatectomy carried out with a robot. Report of a case. Prog Urol, 2000, 10(4): 520-523 (French). [26]Tewari A, Sooriakumaran P, Bloch DA, et al. Positive surgical margin and perioperative complication rates of primary surgical treatments for prostate cancer: A systematic review and meta-analysis comparing retropubic, laparoscopic, and robotic prostatectomy. Eur Urol, 2012, 62(1): 1-15. [27]Porpiglia F, Morra I, Lucci Chiarissi M, et al. Randomised controlled trial comparing laparoscopic and robot-assisted radical prostatectomy. Eur Urol, 2013, 63(4): 606-614. [28]Asimakopoulos AD, Pereira Fraga CT, Annino F, et al. Randomized comparison between laparoscopic and robot-assisted nerve-sparing radical prostatectomy. J Sex Med, 2011, 8(5): 1503-1512. [29]Benway BM, Bhayani SB, Rogers CG, et al. Robot assisted partial nephrectomy versus laparoscopic partial nephrectomy for renal tumors: A multi-institutional analysis of perioperative outcomes. J Urol, 2009, 182(3): 866-872. [30]Wang AJ, Bhayani SB. Robotic partial nephrectomy versus laparoscopic partial nephrectomy for renal cell carcinoma: Single-surgeon analysis of >100 consecutive procedures. Urology, 2009, 73(2): 306-310. [31]Haber GP, White WM, Crouzet S, et al. Robotic versus laparoscopic partial nephrectomy: Single-surgeon matched cohort study of 150 patients. Urology, 2010, 76(3): 754- 758. [32]Long JA, Yakoubi R, Lee B, et al. Robotic versus laparoscopic partial nephrectomy for complex tumors: Comparison of perioperative outcomes. Eur Urol, 2012, 61(6): 1257-1262. [33]Aboumarzouk OM, Stein RJ, Eyraud R, et al. Robotic versus laparoscopic partial nephrectomy: A systematic review and meta-analysis. Eur Urol, 2012, 62(6): 1023-1033. [34]Kutikov A, Uzzo RG. The R.E.N.A.L.nephrometry score: A comprehensive standardized system for quantitating renal tumor size, location and depth. J Urol, 2009, 182(3): 844- 853. [35]Weizer AZ, Palella GV, Montgomery JS, et al. Robot-assisted retroperitoneal partial nephrectomy: Technique and perioperative results. J Endourol, 2011, 25(4): 553-557. [36]Marszalek M, Carini M, Chlosta P, et al. Positive surgical margins after nephron-sparing surgery. Eur Urol, 2012, 61(4):757-763. [37]Gill IS, Patil MB, Abreu AL, et al. Zero ischemia anatomical partial nephrectomy: A novel approach. J Urol, 2012, 187(3):807-814. [38]Kaouk JH, Goel RK, Haber GP, et al. Robotic single-port transumbilical surgery in humans: Initial report. BJU Int, 2009, 103(3): 366-369. [39]Autorino R, Kaouk JH, Stolzenburg JU, et al. Current status and future directions of robotic single-site surgery: A systematic review. Eur Urol, 2013, 63(2): 266-280. [40]Joseph RA, Goh AC, Cuevas SP, et al. "Chopstick" surgery: A novel technique improves surgeon performance and eliminates arm collision in robotic single-incision laparoscopic surgery. Surg Endosc, 2010, 24(6): 1331-1335.