Search research articles

Search research articles

Related Experiment Videos

Single-port access in laparoscopic cholecystectomy.

Thomas E Langwieler¹, Thomas Nimmesgern, Melanie Back

¹Department of General and Visceral Surgery and Minimally Invasive Surgery, Ev Amalie Sieveking-Hospital, Hamburg, Germany. t.e.langwieler@amalie.de

Surgical Endoscopy

|March 6, 2009

Summary

Single-port access cholecystectomy (SPACE) offers a feasible, less invasive approach to gallbladder removal. This technique provides better cosmetic outcomes and reduced patient discomfort, making it suitable for various patients.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Transanal Endoscopic Surgery Using Different Single-Port Devices.

Surgical technology international·2012

Same author

Transanal single port microsurgery (TSPM) as a modified technique of transanal endoscopic microsurgery (TEM).

Surgical innovation·2010

Same author

Alveolar recruitment strategy and high positive end-expiratory pressure levels do not affect hemodynamics in morbidly obese intravascular volume-loaded patients.

Anesthesia and analgesia·2009

Same author

Percutaneous localization of pulmonary nodules prior to thoracoscopic surgery by CT-guided hook-wire.

Anticancer research·2006

Same author

Spontaneous pneumomediastinum.

The Annals of thoracic surgery·2004

Same author

Paraesophageal bronchogenic cyst associated with multiple epithelial splenic cysts.

Digestive surgery·2002

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Area of Science:

Minimally Invasive Surgery
Surgical Innovation
Laparoscopic Procedures

Background:

Single-port access cholecystectomy utilizes a single transumbilical port for gallbladder removal.
This technique is sometimes referred to as "scarless" surgery.
This study reports on early European clinical experiences with this novel approach.

Purpose of the Study:

To evaluate the feasibility and outcomes of transumbilical single-port access cholecystectomy (SPACE).
To assess the benefits of SPACE regarding cosmesis and patient recovery.

Main Methods:

Fourteen patients underwent cholecystectomy using the ASC TriPort system.
A single transumbilical incision accommodated two 5-mm instruments and a 5-mm telescope.
Hemostasis was managed with ultrasonic devices and surgical clips.

Related Experiment Videos

Main Results:

All fourteen procedures were successfully completed without complications.
No additional skin incisions were required.
Operative times were longer compared to conventional laparoscopic cholecystectomy.

Conclusions:

Transumbilical single-port access cholecystectomy (SPACE) is a viable technique offering reduced scarring and postoperative discomfort.
Benefits include improved cosmetic results, fewer wound infections, and decreased risk of incisional hernias.
SPACE is particularly advantageous for obese patients and can be enhanced with specialized instruments.