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Related Experiment Video

Updated: Jun 6, 2026

Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture

Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture

Published on: November 25, 2025

Video. Single-incision laparoscopic cholecystectomy.

K Thompson¹, A Spivack, L Fischer

¹University of California-San Diego, San Diego, CA, USA. kjthompson@ucsd.edu

Surgical Endoscopy

|November 12, 2010

Summary

Single-incision cholecystectomy using a flexible endoscope offers a safe, minimally invasive option with improved cosmesis and visualization. This technique allows for same-day discharge and minimal complications.

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Area of Science:

Minimally Invasive Surgery
Surgical Innovation
Gastrointestinal Surgery

Background:

Single-incision laparoscopic surgery (SILS) offers reduced scarring and pain.
Flexible endoscopes enhance visualization in SILS compared to standard laparoscopes.
Umbilical incisions are explored for cosmetic benefits in SILS.

Purpose of the Study:

To demonstrate the feasibility and safety of single-incision cholecystectomy using a flexible endoscope.
To highlight the visualization advantages of flexible endoscopy in SILS.
To evaluate the cosmetic and clinical outcomes of umbilical SILS cholecystectomy.

Main Methods:

A single umbilical incision was utilized for entry.
A flexible endoscope and two 5-mm ports were employed.

Related Experiment Videos

Last Updated: Jun 6, 2026

Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture

Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture

Published on: November 25, 2025

Standard cholecystectomy dissection and ligation techniques were adapted for SILS.

Main Results:

The procedure was completed in 58 minutes with minimal blood loss.
The umbilical incision measured 7 mm.
The patient was discharged the same day with no postoperative complications.

Conclusions:

Single-incision cholecystectomy via the umbilicus is safe and optimizes cosmesis.
Flexible endoscopes significantly improve visualization and maneuverability in SILS.
This approach allows for safe identification of biliary anatomy and successful gallbladder removal.