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Laparoendoscopic single-site cholecystectomy: using a gelport device.
Andrew A Gumbs1, Ziad El Rassi, Elie K Chouillard
1Minimally Invasive HPB Surgery, Department of Surgical Oncology, Summit Medical Group, Berkeley Heights, NJ 07922, USA. aagumbs@gmail.com
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|December 8, 2011
Summary
Laparoendoscopic single-site (LESS) cholecystectomy using a gelport device is a safe and effective minimally invasive technique. This method allows surgeons to achieve critical views, potentially enabling wider adoption in various surgical centers.
Area of Science:
- Minimally Invasive Surgery
- Surgical Technology
- Gastrointestinal Surgery
Background:
- Laparoendoscopic single-site (LESS) surgery is a versatile minimally invasive technique.
- This study details the procedure for LESS cholecystectomy using a gelport device.
Purpose of the Study:
- To describe the technique for performing LESS cholecystectomy with a gelport.
- To evaluate the safety and efficacy of this approach.
Main Methods:
- A 2 cm umbilical incision is made, followed by fascia opening and insertion of a wound protector.
- A gelport device is used to insert four 5 mm trocars for insufflation and working ports.
- An articulating 5 mm laparoscope provides intra-abdominal visualization.
Main Results:
- 19 out of 20 LESS cholecystectomies were successful (5% conversion rate).
- Average procedure time was 81 minutes, with an average length of stay less than 1 day.
- A 5% complication rate was observed (one wound infection), with no hernias at 9-month follow-up.
Conclusions:
- The gelport facilitates LESS cholecystectomy, making the technology accessible to non-specialized centers.
- This technique allows for a critical view of the Calot's triangle, similar to standard laparoscopic procedures.