Initial experience of laparoendoscopic single-site radical prostatectomy requiring well-equipped appliances and a skilled technique

Abstract

We report an initial experience in laparoendoscopic single-site radical prostatectomy (LESSRP) using a homemade single-port device for prostate cancer. A 63-year-old man was diagnosed with prostate cancer. The patient underwent LESSRP using an Alexis® wound retractor, which was inserted through an umbilical incision. A homemade single-port device was made by fixing a 6 1/2 surgical glove to the retractor's outer ring and securing the glove finger to the end of 4 trocars with a tie. Using the flexible laparoscopic and rigid instruments, LESSRP was performed using a procedure similar to conventional laparoscopic radical prostatectomy (LRP). In the current case, we could not perform complete LESSRP, so we report our initial experience and consider the reason why laparoendoscopic single-site surgery was converted to conventional LRP. © 2010 S. Karger AG, Basel.