A single-port technique for laparoscopic extended stapled appendectomy
Related Experiment Video
Updated: Jun 26, 2026

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
Ninh T Nguyen1, Kevin M Reavis, Marcelo W Hinojosa
1Department of Surgery, University of California Irvine Medical Center, Orange, California 92868, USA. ninhn@uci.edu
Summary Background Data:
Natural orifice translumenal endoscopic surgery (NOTES) has become an exciting area of surgical development. Significant limitations to this surgical concept include lack of surgical expertise and appropriate flexible instrumentation. An alternative and competing technology to NOTES is single-incision laparoscopic surgery.
Methods:
This study describes a patient in whom a laparoscopic surgical technique for appendectomy used incisions that were all placed within the umbilicus.
Results:
The operative time was 40 minutes. There were no intraoperative complications. The patient did well postoperatively and was discharged on postoperative day 1. There were no perioperative complications at 1-month follow-up.
Conclusion:
Appendectomy performed through laparoscopic incisions placed within the umbilicus was technically feasible and safe. Development of advanced flexible instrumentation and visualization platform may facilitate this new operative approach.
