Single port access laparoscopic cholecystectomy (with video).

World Journal of Surgery
Pascal BucherPhilippe Morel

Abstract

Single port access (SPA) surgery is a rapidly evolving field due to the complexity of NOTES (natural orifice translumenal endoscopic surgery). SPA combines the cosmetic advantage of NOTES and possibility to perform surgical procedure with standard laparoscopic instruments. We report a technique of umbilical SPA cholecystectomy using standard laparoscopic instruments and complying with conventional surgical principle and technique of minimally invasive cholecystectomy. Preliminary, prospective experience of SPA cholecystectomy in 11 patients (median age, 46 (range, 27-63) years) scheduled for cholecystectomy was evaluated. Diagnoses for cholecystectomy were: symptomatic gallbladder lithiasis (n = 7), previous acute cholecystitis (n = 3), and biliary pancreatitis (n = 1). SPA cholecystectomy was feasible in all patients (median body mass index, 24 (range, 20-34) kg/m(2)) who were scheduled for preliminary experience using conventional laparoscopic instruments. Median operative time was 52 (range, 40-77) minutes. Intraoperative cholangiography was performed in all patients, except one, and was considered normal. No peroperative or postoperative complications were recorded. Median hospital stay was less than 24 h. SPA cholecystecto...Continue Reading

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Citations

Aug 19, 2009·Surgical Endoscopy·Pascal BucherPhilippe Morel
Dec 3, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·James Scott PollardIrfan Ahmed
Jul 11, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Osman Z KarakuşFeza M Akgür
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May 31, 2012·Minimally Invasive Surgery·Ahmad Mohmmad Zubaidi
Jul 18, 2009·Surgical Endoscopy·Huai-Ching TaiStephen Shei-Dei Yang
Dec 30, 2009·Surgical Endoscopy·John R RomanelliDavid B Earle
Jan 8, 2010·Surgical Endoscopy·Pascal BucherPhilippe Morel
Feb 23, 2010·Surgical Endoscopy·Sam AtallahSergio Larach
Jul 8, 2010·Surgical Endoscopy·Stavros A AntoniouFrank A Granderath
Nov 4, 2010·Surgical Endoscopy·Melissa B BaglooAlfons Pomp
Mar 7, 2009·World Journal of Surgery·Saxon Connor
Nov 9, 2010·World Journal of Surgery·Stephen Kin Yong ChangKrishnakumar Madhavan
Mar 2, 2011·World Journal of Surgery·Pascal BucherPhilippe Morel
Feb 26, 2013·World Journal of Surgery·Markus J WagnerMichael H Schoenberg
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Jul 11, 2009·Fertility and Sterility·Anna FagottiGiovanni Scambia

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