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Related Experiment Video

Updated: Apr 21, 2026

Application of Laparoscopic Ultrasonography in Primary Choledochal Suture during Combined Two-lens Surgery
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Transumbilical single incision laparoscopic cholecystectomy with conventional instruments: A continuing study.

Rajeev Sinha1, Albel S Yadav1

  • 1Department of Surgery, Maharani Laxmibai Medical College, Jhansi, Uttar Pradesh, India.

Journal of Minimal Access Surgery
|October 23, 2014
PubMed
Summary

Single incision, multiport transumbilical gallbladder surgery (SILC) offers comparable outcomes to standard laparoscopic cholecystectomy (SLC). SILC provides cosmetic and pain benefits, though operative time is longer.

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Area of Science:

  • Minimally Invasive Surgery
  • Surgical Oncology
  • Gastroenterology

Background:

  • The single incision, multiport transumbilical approach (SILC) for symptomatic gallbladder calculus disease is feasible.
  • Established feasibility of SILC for gallbladder disease.

Purpose of the Study:

  • To examine the short and long-term morbidity associated with the SILC approach.
  • Compare SILC outcomes with standard laparoscopic cholecystectomy (SLC).

Main Methods:

  • 1338 patients underwent SILC by a single surgeon using a transumbilical incision and three conventional ports.
  • Instruments for standard laparoscopic cholecystectomy (SLC) were utilized.
  • Included patients with acute cholecystitis and calculous pancreatitis; excluded choledocholithiasis.
Keywords:
Laparoscopic cholecystectomysingle incisiontransumbilical

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

  • Mean operative time for SILC was 24.7 minutes compared to 18.4 minutes for SLC.
  • Conversion to SLC was required in 12 patients; port site hernia occurred in 2 patients.
  • Comparable postoperative pain and infection rates between SILC and SLC.

Conclusions:

  • Transumbilical SILC yields results comparable to SLC.
  • SILC is a superior alternative for cosmesis and reduced postoperative pain.
  • Increased operative time is a notable difference for SILC compared to SLC.