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We thank Richstone and Kavoussi for their sage comments. Clearly, the use of an adjunctive 2-mm needle-port is not always necessary, nor do we use it as such. However, in reconstructive cases, it offers a ready, morbidity-free solution to allow a more robust and confident surgical presence within the abdomen, enabling precise suturing. Requiring only a needle puncture for insertion, without any formal skin incision or skin suturing, the 2-mm Veres needle ports with an outer diameter akin to a 14-gauge intravenous needle, actually leave no visible scar. Indeed, in its upcoming white paper, the LESSCAR consortium panel ratified the discretionary use of the Veres needle port during LESS surgery. 1 Gill IS, Advincula AP, Aron M, et al. White paper. Consensus Statement of the Consortium for Laparo-Endoscopic Single-Site (LESS) Surgery. Surg Endosc. (in press). Google Scholar These are indeed exciting times. Laparoscopic surgery seems poised to advance to a new higher level. Laparoendoscopic Single-site Surgery: Initial Hundred PatientsUrologyVol. 74Issue 4PreviewTo report our initial experience with laparoendoscopic single-site (LESS) surgery in 100 patients in urology. Full-Text PDF Editorial CommentUrologyVol. 74Issue 4PreviewWe congratulate the authors for amassing the largest urologic experience with LESS procedures. They certainly demonstrate that this new laparoscopic technique is feasible and applicable to a variety of urologic pathologies. However, trying to interpret the results in this compilation of 13 different LESS surgeries is difficult—the tables provided can serve as initial benchmarks for perioperative outcomes. Focusing on the higher volume procedures reported, the LESS transvesical simple prostatectomy appears to be a challenging case requiring further refinement as complications occurred in 25% of cases (most being major complications). Full-Text PDF Editorial CommentUrologyVol. 74Issue 4PreviewWe applaud the authors for their work in assessing the applicability of laparoendoscopic single-site surgery (LESS). This approach is a more practical alternative to pure natural orifice transluminal endoscopic surgery (NOTES). Several previous studies have demonstrated the feasibility of LESS in urology, for both extirpative and reconstructive surgeries.1,2 The current series reviews to a considerable extent the safety and reproducibility of this technique. It should be pointed out, however, that in a significant proportion of these cases, the surgery described was not true “single-site surgery.” The authors note that all reconstructive cases (including partial nephrectomy, pyeloplasty, etc.) involved the use of an additional 2-mm trocar with accompanying instruments to complete these procedures. Full-Text PDF