Roles of NOTES and LESS in management of small renal masses

Dae Keun Kim, Young Eun Yoon, WoongKyu Han, KoonHo Rha

Research output: Contribution to journalReview article

1 Citation (Scopus)

Abstract

Introduction Over the last 2 decades, open surgery has been largely displaced by laparoscopic surgery for the treatment of renal masses. Recently, minimally invasive surgical techniques, such as laparoendoscopic single-site surgery (LESS) and natural orifice transluminal endoscopic surgery (NOTES), have been developed for such purpose. Methods In the present literature review, the current status of treatment for small renal masses was investigated. The advantages and disadvantages of LESS and NOTES are presented to confirm the feasibility and reproducibility of these techniques. Results LESS significantly reduces pain and offers excellent cosmetic outcomes with comparable oncological and perioperative results, and NOTES offers the potential for surgery by various approach without any transcutaneous abdominal incision in management of small renal masses. Conclusion When the technical limitations are overcome, clinical application of LESS and NOTES is expected to increase. Further prospective and comparative studies are needed to clarify the application of these new techniques.

Original languageEnglish
Pages (from-to)574-582
Number of pages9
JournalInternational Journal of Surgery
Volume36
DOIs
Publication statusPublished - 2016 Dec 1

Fingerprint

Natural Orifice Endoscopic Surgery
Kidney
Cosmetics
Laparoscopy
Prospective Studies
Pain
Therapeutics

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

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title = "Roles of NOTES and LESS in management of small renal masses",
abstract = "Introduction Over the last 2 decades, open surgery has been largely displaced by laparoscopic surgery for the treatment of renal masses. Recently, minimally invasive surgical techniques, such as laparoendoscopic single-site surgery (LESS) and natural orifice transluminal endoscopic surgery (NOTES), have been developed for such purpose. Methods In the present literature review, the current status of treatment for small renal masses was investigated. The advantages and disadvantages of LESS and NOTES are presented to confirm the feasibility and reproducibility of these techniques. Results LESS significantly reduces pain and offers excellent cosmetic outcomes with comparable oncological and perioperative results, and NOTES offers the potential for surgery by various approach without any transcutaneous abdominal incision in management of small renal masses. Conclusion When the technical limitations are overcome, clinical application of LESS and NOTES is expected to increase. Further prospective and comparative studies are needed to clarify the application of these new techniques.",
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Roles of NOTES and LESS in management of small renal masses. / Kim, Dae Keun; Yoon, Young Eun; Han, WoongKyu; Rha, KoonHo.

In: International Journal of Surgery, Vol. 36, 01.12.2016, p. 574-582.

Research output: Contribution to journalReview article

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AU - Rha, KoonHo

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