Table 1.
Robotic LESS procedures: major* clinical series in urology
| Reference | Procedure (n of cases) | Access device | OR, min | Conversions, n (to what) | Major (Clavien grade >3) postop. complications, n (%) | Comments |
|---|---|---|---|---|---|---|
| 38 | RN (10) | SILS or Gelpoint | 167.5^ | 0 | 0 | With SILS port, robotic trocars placed inside the same skin incision, and tunneled before piercing the fascia. With the Gelpoint, robotic trocars inserted at the most cephalad and caudal aspects of the device |
| 39 | PN (14) | Homemade | 205^ | 2 (open PN) | 0 | Median tumor size 3.2 cm. Median WIT 30 min. All margins negative. Additional port used. |
| 40 | PN (35) | Homemade | 187.5^^ | 0 | 1 (3) | WIT 29.5 min. One positive margin. Additional port used (two-port technique). |
| 43 | Pyelo (10) | Gelpoint | 226^^ | 0 | 1 (10) | Two 5-mm robotic ports, a 12-mm camera port, and a 12-mm assistant trocar through GelPOINT in a diamond-shaped configuration. Robotic instruments crisscrossing at umbilicus. |
| 45 | RP (20) | SILS | 187.6^^ | 1 (RALP) | 1 (5) | Skin incision measuring 3–4.5 cm, mostly concealed within the umbilicus. Instruments not crossed. Use of “marionette” sutures. |
| 46 | STEP (9) | Gelport | 234^ | 1 (open SP) | 4 (44) | Initial transurethral incision of the prostatic apex. Two patients requiring digital rectal assistance for enucleation. No suturing. |
| 50 | Pyelo (9) | daVinci Single-site instrument | 160^ | 0 | 0 |
*
of at least 5 cases
^
Median value
^^
Mean value
Legends. RN=Radical Nephrectomy; PN=Partial Nephrectomy; Pyelo=Pyeloplasty; RP=Radical Prostatectomy; STEP=Suprapubic Transvesical enucleation of the prostate; RALP=Robot Assisted Laparoscopic Prostatectomy; SP=Simple prostatectomy