TY - JOUR
T1 - Roles of NOTES and LESS in management of small renal masses
AU - Kim, Dae Keun
AU - Yoon, Young Eun
AU - Han, Woong Kyu
AU - Rha, Koon Ho
N1 - Publisher Copyright:
© 2015 IJS Publishing Group Ltd
PY - 2016/12/1
Y1 - 2016/12/1
N2 - 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.
AB - 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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U2 - 10.1016/j.ijsu.2015.11.024
DO - 10.1016/j.ijsu.2015.11.024
M3 - Review article
C2 - 26607854
AN - SCOPUS:84961164534
VL - 36
SP - 574
EP - 582
JO - International Journal of Surgery
JF - International Journal of Surgery
SN - 1743-9191
ER -