Single Incision Laparoscopic Cholecystectomy

Since the introduction of laparoscopic cholecystectomy in 1987, several modifications have been described to reduce the number and size of transabdominal ports. Recently, natural orifice transluminal transorgan cholecystectomy using endoscopes have been performed in animal models and in humans with laparoscopic assistance.

We present the operative video of a laparoscopic cholecystectomy performed via a single 1.5 cm infraumbilical incision.

The techniques of dissection are similar to those required for natural orifice surgery particularly with respect to in-line instrumentation and a narrow field of view dissecting environment.

This technique offers some of the potential advantages of natural orifice surgery such as fewer visible scars and decreased port site pain without the disadvantages related to transorgan access of the peritoneal cavity. It can also be rapidly converted to the conventional three or four port operation if required.

We intend to harness the advantages of flexible endoscopes to perform laparoscopic cholesystectomy via a single umbilical port.

Session: Podium Video Presentation

Program Number: V052

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