The Decline of Laparoendoscopic Single-Site Surgery: A Survey of the Endourological Society to Identify Shortcomings and Guidance for Future Directions

Igor Sorokin, Noah Canvasser, Brian Irwin, Riccardo Autorino, Evangelos N. Liatsikos, Jeffrey A. Cadeddu, Abhay Rane

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Introduction: To analyze the most recent temporal trends in the adoption of urologic laparoendoscopic single-site (LESS), to identify the perceived limitations associated with its decline, and to determine factors that might revive the role of LESS in the field of minimally invasive urologic surgery. Materials and Methods: A 15 question survey was created and sent to members of the Endourological Society in September 2016. Only members who performed LESS procedures in practice were asked to respond. Results: In total, 106 urologists responded to the survey. Most of the respondents were from the United States (35%) and worked in an academic hospital (84.9%). Standard LESS was the most popular approach (78.1%), while 14.3% used robotics and 7.6% used both. 2009 marked the most popular year to perform the initial (27.6%) and the majority (20%) of LESS procedures. The most common LESS procedure was a radical/simple nephrectomy (51%) followed by pyeloplasty (17.3%). In the past 12 months, 60% of respondents had performed no LESS procedures. Compared to conventional laparoscopy respondents only believed cosmesis to be better, however, this enthusiasm waned over time. Worsening shifts in enthusiasm for LESS also occurred with patient desire, marketability, cost, safety, and robotic adaptability. The highest rated factor to help LESS regain popularity was a new robotic platform. Conclusion: The decline of LESS is apparent, with few urologists continuing to perform procedures attributed to multiple factors. The availability of a purpose-built robotic platform and better instrumentation might translate into a renewed future interest of LESS.

Original languageEnglish (US)
Pages (from-to)1049-1055
Number of pages7
JournalJournal of Endourology
Volume31
Issue number10
DOIs
StatePublished - Oct 1 2017
Externally publishedYes

Fingerprint

Robotics
Minimally Invasive Surgical Procedures
Nephrectomy
Laparoscopy
Surveys and Questionnaires
Direction compound
Safety
Costs and Cost Analysis
Urologists

Keywords

  • laparoendoscopic single-site surgery
  • laparoscopy
  • LESS
  • robotic LESS

ASJC Scopus subject areas

  • Urology

Cite this

The Decline of Laparoendoscopic Single-Site Surgery : A Survey of the Endourological Society to Identify Shortcomings and Guidance for Future Directions. / Sorokin, Igor; Canvasser, Noah; Irwin, Brian; Autorino, Riccardo; Liatsikos, Evangelos N.; Cadeddu, Jeffrey A.; Rane, Abhay.

In: Journal of Endourology, Vol. 31, No. 10, 01.10.2017, p. 1049-1055.

Research output: Contribution to journalArticle

Sorokin, Igor ; Canvasser, Noah ; Irwin, Brian ; Autorino, Riccardo ; Liatsikos, Evangelos N. ; Cadeddu, Jeffrey A. ; Rane, Abhay. / The Decline of Laparoendoscopic Single-Site Surgery : A Survey of the Endourological Society to Identify Shortcomings and Guidance for Future Directions. In: Journal of Endourology. 2017 ; Vol. 31, No. 10. pp. 1049-1055.
@article{54180c03e24845b1ae6a95856e575715,
title = "The Decline of Laparoendoscopic Single-Site Surgery: A Survey of the Endourological Society to Identify Shortcomings and Guidance for Future Directions",
abstract = "Introduction: To analyze the most recent temporal trends in the adoption of urologic laparoendoscopic single-site (LESS), to identify the perceived limitations associated with its decline, and to determine factors that might revive the role of LESS in the field of minimally invasive urologic surgery. Materials and Methods: A 15 question survey was created and sent to members of the Endourological Society in September 2016. Only members who performed LESS procedures in practice were asked to respond. Results: In total, 106 urologists responded to the survey. Most of the respondents were from the United States (35{\%}) and worked in an academic hospital (84.9{\%}). Standard LESS was the most popular approach (78.1{\%}), while 14.3{\%} used robotics and 7.6{\%} used both. 2009 marked the most popular year to perform the initial (27.6{\%}) and the majority (20{\%}) of LESS procedures. The most common LESS procedure was a radical/simple nephrectomy (51{\%}) followed by pyeloplasty (17.3{\%}). In the past 12 months, 60{\%} of respondents had performed no LESS procedures. Compared to conventional laparoscopy respondents only believed cosmesis to be better, however, this enthusiasm waned over time. Worsening shifts in enthusiasm for LESS also occurred with patient desire, marketability, cost, safety, and robotic adaptability. The highest rated factor to help LESS regain popularity was a new robotic platform. Conclusion: The decline of LESS is apparent, with few urologists continuing to perform procedures attributed to multiple factors. The availability of a purpose-built robotic platform and better instrumentation might translate into a renewed future interest of LESS.",
keywords = "laparoendoscopic single-site surgery, laparoscopy, LESS, robotic LESS",
author = "Igor Sorokin and Noah Canvasser and Brian Irwin and Riccardo Autorino and Liatsikos, {Evangelos N.} and Cadeddu, {Jeffrey A.} and Abhay Rane",
year = "2017",
month = "10",
day = "1",
doi = "10.1089/end.2017.0280",
language = "English (US)",
volume = "31",
pages = "1049--1055",
journal = "Journal of Endourology",
issn = "0892-7790",
publisher = "Mary Ann Liebert Inc.",
number = "10",

}

TY - JOUR

T1 - The Decline of Laparoendoscopic Single-Site Surgery

T2 - A Survey of the Endourological Society to Identify Shortcomings and Guidance for Future Directions

AU - Sorokin, Igor

AU - Canvasser, Noah

AU - Irwin, Brian

AU - Autorino, Riccardo

AU - Liatsikos, Evangelos N.

AU - Cadeddu, Jeffrey A.

AU - Rane, Abhay

PY - 2017/10/1

Y1 - 2017/10/1

N2 - Introduction: To analyze the most recent temporal trends in the adoption of urologic laparoendoscopic single-site (LESS), to identify the perceived limitations associated with its decline, and to determine factors that might revive the role of LESS in the field of minimally invasive urologic surgery. Materials and Methods: A 15 question survey was created and sent to members of the Endourological Society in September 2016. Only members who performed LESS procedures in practice were asked to respond. Results: In total, 106 urologists responded to the survey. Most of the respondents were from the United States (35%) and worked in an academic hospital (84.9%). Standard LESS was the most popular approach (78.1%), while 14.3% used robotics and 7.6% used both. 2009 marked the most popular year to perform the initial (27.6%) and the majority (20%) of LESS procedures. The most common LESS procedure was a radical/simple nephrectomy (51%) followed by pyeloplasty (17.3%). In the past 12 months, 60% of respondents had performed no LESS procedures. Compared to conventional laparoscopy respondents only believed cosmesis to be better, however, this enthusiasm waned over time. Worsening shifts in enthusiasm for LESS also occurred with patient desire, marketability, cost, safety, and robotic adaptability. The highest rated factor to help LESS regain popularity was a new robotic platform. Conclusion: The decline of LESS is apparent, with few urologists continuing to perform procedures attributed to multiple factors. The availability of a purpose-built robotic platform and better instrumentation might translate into a renewed future interest of LESS.

AB - Introduction: To analyze the most recent temporal trends in the adoption of urologic laparoendoscopic single-site (LESS), to identify the perceived limitations associated with its decline, and to determine factors that might revive the role of LESS in the field of minimally invasive urologic surgery. Materials and Methods: A 15 question survey was created and sent to members of the Endourological Society in September 2016. Only members who performed LESS procedures in practice were asked to respond. Results: In total, 106 urologists responded to the survey. Most of the respondents were from the United States (35%) and worked in an academic hospital (84.9%). Standard LESS was the most popular approach (78.1%), while 14.3% used robotics and 7.6% used both. 2009 marked the most popular year to perform the initial (27.6%) and the majority (20%) of LESS procedures. The most common LESS procedure was a radical/simple nephrectomy (51%) followed by pyeloplasty (17.3%). In the past 12 months, 60% of respondents had performed no LESS procedures. Compared to conventional laparoscopy respondents only believed cosmesis to be better, however, this enthusiasm waned over time. Worsening shifts in enthusiasm for LESS also occurred with patient desire, marketability, cost, safety, and robotic adaptability. The highest rated factor to help LESS regain popularity was a new robotic platform. Conclusion: The decline of LESS is apparent, with few urologists continuing to perform procedures attributed to multiple factors. The availability of a purpose-built robotic platform and better instrumentation might translate into a renewed future interest of LESS.

KW - laparoendoscopic single-site surgery

KW - laparoscopy

KW - LESS

KW - robotic LESS

UR - http://www.scopus.com/inward/record.url?scp=85031785944&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85031785944&partnerID=8YFLogxK

U2 - 10.1089/end.2017.0280

DO - 10.1089/end.2017.0280

M3 - Article

C2 - 28741414

AN - SCOPUS:85031785944

VL - 31

SP - 1049

EP - 1055

JO - Journal of Endourology

JF - Journal of Endourology

SN - 0892-7790

IS - 10

ER -