BACKGROUND: Laparoendoscopic single-site (LESS) surgery has been developed in attempt to further reduce the morbidity and scarring associated with surgical intervention. OBJECTIVE: To describe the technique and report the surgical outcomes of LESS radical nephrectomy (RN) in the treatment of @entity1358 . DESIGN, SETTING, AND @entity1 : LESS-RN was performed in 33 @entity1 with @entity703 . The indications to perform a LESS-RN were represented by @entity703 not greater than T2 and without evidence of lymphadenopathy or renal vein involvement. SURGICAL PROCEDURE: The Endocone (Karl Storz, Tuttlingen, Germany) was inserted through a transumbilical incision. A combination of standard laparoscopic instruments and bent grasper and scissors was used. The sequence of steps of LESS-RN was comparable to standard laparoscopic RN. MEASUREMENTS: Demographic data and perioperative and postoperative variables were recorded and analysed. RESULTS AND LIMITATIONS: The mean operative time was 143.7  24.3 min, with a mean estimated @entity190 of 122.3  34.1 ml and a mean hospital stay of 3.8  0.8 d. The mean length of skin incision was 4.1  0.6 cm and all @entity1 were discharged from hospital with minimal discomfort, as demonstrated by their pain assessment scores (visual analogue scale: 1.9  0.8). The definitive pathologic results revealed @entity1358 in all cases and a stage distribution of four T1a, 27 T1b, and 2 T2 @entity5 . All @entity1 were very satisfied with the appearance of the scars, and at a median follow-up period of 13.2  3.9 mo, all @entity1 were alive without evidence of @entity5 recurrence or port-site @entity3 . CONCLUSIONS: LESS is a safe and feasible surgical procedure for RN in the treatment of @entity1358 and has excellent cosmetic results.

Laparoendoscopic single-site radical nephrectomy for XXXX : technique and surgical outcomes.

@entity1 :: ('9606', 'Species') :: ['patients', 'PARTICIPANTS'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumours', 'tumour'] @entity1358 :: ('MESH:D002292', 'Disease') :: ['renal cell carcinoma', 'a renal cell carcinoma'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastasis'] @entity703 :: ('MESH:D007680', 'Disease') :: ['renal tumours']
@entity703 :: (MESH:D007680,Disease) :: ['renal cancer']
