“We initially used SILS® (Covidien) but converted to GelPoint® (Applied Medical), which is currently our standard single-port device for all transumbilical procedures.”
“The presented technique uses the transumbilical approach as the primary means of intra-abdominal access with a 5-mm assistance trocar. Although this technique does not correspond to pure SILS, this technique achieves all of the cosmetic advantages of the single-incision approach and adds better instrument triangulation as well as very good visualization and exposure.”
"Although technically challenging, LESS-RDN in experienced hands can be performed safely and should be considered as an alternative if it is the preferred kidney for transplantation."
"The GelPOINT device with 3 trocars is inserted into the abdomen and pnuemoperitoneum is established."
"Standard nonarticulating laparoscopic instruments are used in most of the procedure."
"The LESS-RDN surgical technique essentially duplicates standard LDN."
“LESS adrenalectomy is a safe and technically feasible procedure for patients with benign adrenal tumors, and offers cosmetic benefit and the potential for postoperative pain reduction...”