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Related Experiment Video

Updated: May 21, 2026

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Flexible single-incision surgery: a fusion technique.

José F Noguera1, Carlos Dolz, Angel Cuadrado

  • 1Consorcio Hospital General Universitario de Valencia, Valencia, Spain. drjfnoguera@hotmail.com

Surgical Innovation
|June 22, 2012
PubMed
Summary

Flexible single-incision surgery offers a safe and effective new approach for endoscopic cholecystectomy. This minimally invasive technique provides surgeon advantages with no increase in operative time or complications.

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Area of Science:

  • Minimally Invasive Surgery
  • Surgical Endoscopy
  • Gastrointestinal Surgery

Background:

  • Natural orifice transluminal endoscopic surgery (NOTES) has spurred advancements like single-incision surgery.
  • Flexible endoscopes enhance single-incision techniques, refining surgical methods.

Purpose of the Study:

  • To introduce and evaluate a novel surgical approach: flexible single-incision surgery.
  • To assess the safety and efficacy of this technique in endoscopic cholecystectomy.

Main Methods:

  • A series of 30 patients underwent endoscopic cholecystectomy using the flexible single-incision technique.
  • The method involves a single umbilical incision for a flexible endoscope and two parallel ports for nonarticulated instruments.

Main Results:

Keywords:
NOTESSILSflexible endoscopyinterventional endoscopysingle-site surgery

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Last Updated: May 21, 2026

C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position
12:25

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Published on: September 16, 2022

  • The flexible single-incision technique was successfully applied in all indicated patients.
  • No general or surgical wound complications were observed.
  • Operative times were comparable to standard single-port surgery.

Conclusions:

  • Flexible single-incision surgery is a viable new single-site technique.
  • It ensures patient safety comparable to existing methods.
  • The technique offers significant advantages for surgeons at a minimal cost.