Introduction:
To assess the feasibility of single-incision lapa
-
roscopic surgery (SILS) in some urological surgeries.
Mate
-
rial and Methods:
This prospective study was conducted on
40 patients (27 males and 13 females) from January 2010 to
June 2011. Six procedures were done, SILS renal cyst decor
-
tication (n = 10), SILS varicocelectomy (n = 10), SILS orchio
-
pexy (n = 10), SILS nephrectomy (n = 3), SILS pyelolithtomy
(n = 6) and SILS adrenalectomy (n = 1).
Results:
Postopera
-
tive complications included ileus (10%) and fever (10%) in
SILS renal cyst ablation. SILS varicocelectomy had postop
-
erative sequalae as persistent varicocele (10%) and hydro
-
cele (10%). SILS orchiopexy was also done with a success
rate 100% in this series. SILS pyelolithotomy was successfully
done in 5 out of 6 patients and only 1 patient was converted
to conventional laparoscopy. In SILS nephrectomy 1 patient
out of 3 was converted to conventional laparoscopy.
Conclu
-
sion:
SILS in urology has proven to be safe and feasible in the
hands of experienced laparoscopic surgeons, using specially
designed ports and instruments in selected patients