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F Greco, L Cindolo , R Autorino , S Micali , RJ Stein,

F Greco, L Cindolo , R Autorino , S Micali , RJ Stein, G Bianchi, C Fanizza , L Schips , P Fornara , J Kaouk. Prospective evaluation with standardised criteria for postoperative complications after lESS for upper urinary tract diseases. LESS is in its infancy.

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F Greco, L Cindolo , R Autorino , S Micali , RJ Stein,

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  1. F Greco, L Cindolo, R Autorino, S Micali, RJ Stein, G Bianchi, C Fanizza, L Schips, P Fornara, J Kaouk Prospectiveevaluationwithstandardisedcriteriafor postoperative complications after lESSforupperurinarytractdiseases

  2. LESS is in its infancy • History of LESS started only 3 yr ago • We arguably are still completing our learning curve • The potential benefits for LESS go much further than cosmesis • Not cosmesis but less morbidity to our patients! • Analysis of complications with Clavien classification

  3. Baseline characteristics • 192 LESS procedures • 55y • 26.5 BMI • 2 mean ASA • 85% ablative surgery • 25% radical nephrectomy • 64% benigndisease • 40% additionalports • 164 min OT • 147 ml EBL

  4. Complications characteristics Overallcomplicationrate 33/192 (17%)

  5. key to the problem Il bandolodellamatassa Omar Sospiri 2011

  6. Uni- and multivariate analyses

  7. The ratesof intraoperative and postoperative complicationsremainlow • The patientselectionrepresents a keyfactorwhenperforming LESS • Malignantdiseaseatpathologyandhigh ASA score aspredictivefactorsforcomplications after UUT LESS • Surgeonsapproaching LESS shouldstartwithbenigndiseases in low-surgical- riskpatientstominimisethelikelihoodof postoperative complications.

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