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Laparoendoscopic single site pelvic surgery: is there any room?

OBJECTIVES
Our purpose was to summarize the current status of Laparo-endocopic single site surgery (LESS) in the pelvis.


METHODS
A comprehensive literature search was conducted in May 2011 using the medline database to identify publications relating to LESS surgery in the pelvis.


RESULTS
LESS can be safely performed in the pelvis with comparable outcomes to standard minimally invasive approaches. Small series have demonstrated good outcomes in the hands of experienced surgeons in a number of urological settings in the pelvis. Challenges in LESS surgery are continual being overcome by advancing technologies such as with the robotic platform;however, significant improvements are necessary to reduce the difficulty with LESS surgery and dispersion amongst urological surgeons.


CONCLUSION
LESS pelvic procedures are evolving. Wide ranges of procedures have been described using LESS approach, however, in small series and short follow-up. Further examination of LESS pelvic approach with well-designed studies will be crucial to determine the future role of such an approach.