Single-Port Robotic Surgery: Current Status and Future Considerations

The adoption of robotics in urology has been successful as it provides several advantages over standard laparoscopy including three-dimensional vision, improved ergonomics, and enhanced dexterity. These facets ultimately resulted in robotics being adopted in laparoendoscopic single-site surgery (LESS) to overcome the challenges associated with suturing, intra-abdominal triangulation, and instrument clashing. Since the inception of robotic LESS (RLESS) by our institution in 2008, many centers have gone on to study this approach in various urologic applications. Herein, we will discuss instrumentation, access, step-by-step instructions, and outcomes as reported in the literature for various urologic procedures utilizing RLESS.

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