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Updated: May 12, 2026

Intraoperative Strategy under Complex Vascular Adhesion for Laparoscopic Radical Resection of Bismuth-Corlette Type IIIb Perihilar Cholangiocarcinoma

Intraoperative Strategy under Complex Vascular Adhesion for Laparoscopic Radical Resection of Bismuth-Corlette Type IIIb Perihilar Cholangiocarcinoma

Published on: February 13, 2026

Periumbilical laparoscopic surgery through triple channels using common instrumentation.

Jia-Yun Ge¹, Ling Wang, Hao Zou

¹Department of Hepatobiliary and Pancreatic Surgery, Second Affiliated Hospital, Kunming Medical University, Kunming 650101, P.R. China.

Experimental and Therapeutic Medicine

|April 20, 2013

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A new triple-channel periumbilical laparoscopic surgery uses common instruments, offering a cost-effective alternative to single-port surgery. This technique is safe and feasible, with comparable outcomes to traditional methods, preserving patient appearance.

Area of Science:

Minimally Invasive Surgery
Surgical Techniques
Gastrointestinal Surgery

Background:

Single-port laparoscopic technology is effective but costly due to specialized instrumentation.
There is a need for cost-effective, minimally invasive surgical alternatives.

Purpose of the Study:

To introduce and evaluate a novel periumbilical laparoscopic surgery technique using triple channels and common instrumentation.
To compare the outcomes of this new technique with single-port and traditional laparoscopic cholecystectomy.

Main Methods:

Periumbilical laparoscopic cholecystectomy using triple channels and common instruments was performed on 108 patients.
The experimental group was compared to a control group of 356 patients undergoing traditional laparoscopic cholecystectomy.

Keywords:

common instruments laparoscopic cholecystectomy periumbilical triple channels

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Outcomes measured included surgical bleeding, recovery time, hospitalization, cost, and operative time.

Main Results:

The technique was successful in 106 of 108 patients, with 2 requiring conversion to traditional laparoscopy due to bleeding.
No significant differences were found in bleeding, recovery, hospitalization, or cost compared to traditional methods.
Mean operative time for the periumbilical triple channel technique was significantly longer (110.31 min) than traditional laparoscopy (43.98 min).

Conclusions:

Periumbilical laparoscopic surgery through triple channels with common instruments is a safe and feasible alternative for minimally invasive cholecystectomy.
This technique is suitable for basic medical units and preserves cosmetic appearance by avoiding abdominal scarring.
While operative time is longer, the use of common instruments makes it a potentially more accessible and cost-effective option.