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Related Experiment Videos

Totally transumbilical laparoscopic cholecystectomy.

Andrew A Gumbs¹, Luca Milone, Prashant Sinha

¹Department of Surgery, Division of Upper GI and Endocrine Surgery, Columbia University College of Physicians and Surgeons/New York Presbyterian Hospital, 161 Fort Washington Ave, 8th Floor, New York, NY 10032, USA. ag2462@columbia.edu

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract

|August 19, 2008

Summary

Laparo-Endoscopic Single-Site (LESS) surgery offers a minimally invasive approach using a single incision for laparoscopic procedures. This video demonstrates a LESS cholecystectomy using available instruments and a transumbilical approach.

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Area of Science:

Minimally Invasive Surgery
Surgical Innovation

Background:

The term Laparo-Endoscopic Single-Site (LESS) surgery has been established to describe minimally invasive procedures using a single incision.
Current LESS techniques often involve multiple ports through a single fascial incision due to cost and availability of single ports.
This approach utilizes a transumbilical incision with multiple reusable ports.

Discussion:

A deflecting laparoscope and articulating instruments enhance safety and ease compared to standard laparoscopic cholecystectomy.
The described technique employs commercially available instruments for LESS cholecystectomy.
Transumbilical incision facilitates access for LESS procedures.

Key Insights:

LESS surgery provides a minimally invasive alternative to traditional laparoscopy.

Related Experiment Videos

Adaptation of LESS techniques involves using multiple ports through a single incision.

Specialized instruments and visualization tools are crucial for successful LESS procedures.

Outlook:

Further adoption of LESS surgery depends on addressing cost and availability of single-port systems.
Advancements in articulating instruments and imaging may further improve LESS surgery outcomes.
Standardization of LESS techniques can promote wider clinical application.