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Transumbilical single-incision laparoscopic cholecystectomy: preliminary experiences
Andreas Kirschniak1, Stefan Bollmann, Rudolph Pointner
1Department of General and Visceral and Minimally Invasive Surgery, Hospital Neuwerk, Möenchengladbach, Germany. akirschniak@aol.com
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|December 23, 2009
Summary
Single-incision laparoscopic cholecystectomy offers a minimally invasive option with one umbilical incision. This technique utilizes standard laparoscopic instruments for gallbladder removal.
Area of Science:
- Minimally invasive surgery
- Gastrointestinal surgery
- Surgical innovation
Background:
- Laparoscopic cholecystectomy is the standard of care.
- Single-incision laparoscopic surgery (SILS) is an evolving field.
- Trans-organ or trans-umbilical approaches are novel SILS techniques.
Purpose of the Study:
- To present a novel laparoscopic single-incision transumbilical approach to cholecystectomy.
- To demonstrate the feasibility of using standard laparoscopic instruments for this approach.
Main Methods:
- A laparoscopic cholecystectomy was performed through a single umbilical incision.
- Standard laparoscopic instruments were utilized.
- The surgical procedure was documented.
Main Results:
- The single-incision transumbilical laparoscopic cholecystectomy was successfully performed.
- Commonly used laparoscopic instruments were effective for the procedure.
Conclusions:
- The single-incision transumbilical approach is a feasible minimally invasive technique for cholecystectomy.
- This approach can be accomplished using standard laparoscopic instruments.

