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Related Experiment Video

Updated: Sep 22, 2025

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Gasless single-port laparoscopic cholecystectomy.

Masashi Ishikawa1, Michihito Asanoma1, Yoshihiko Tashiro1

  • 1Department of Surgery, Shikoku Central Hospital, Shikokuchuo, Japan.

Journal of Minimally Invasive Surgery
|May 23, 2022
PubMed
Summary

This study introduces a new gasless single-port laparoscopic cholecystectomy technique. It offers a cost-effective, minimally invasive alternative with comparable outcomes to conventional methods.

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Area of Science:

  • Minimally Invasive Surgery
  • Surgical Innovation
  • Gastrointestinal Surgery

Background:

  • Single-port laparoscopic surgery is emerging as a future trend in minimally invasive procedures.
  • Conventional laparoscopic cholecystectomy (CLC) involves multiple ports and pneumoperitoneum.
  • There is a need for alternative, less invasive surgical approaches.

Purpose of the Study:

  • To evaluate a novel single-port laparoscopic cholecystectomy (SLC) technique using an abdominal wall-lifting method without pneumoperitoneum.
  • To compare the outcomes of SLC with conventional laparoscopic cholecystectomy (CLC).

Main Methods:

  • A retrospective analysis of 130 patients was conducted, comparing CLC (n=69) and SLC (n=61).
  • The SLC technique involved a single transumbilical incision, abdominal wall lifting for distension (gasless), and specialized instruments.
Keywords:
Laparoscopic cholecystectomyPainSingle-incision

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  • Patient demographics, operative details, and postoperative outcomes were analyzed.
  • Main Results:

    • The SLC and CLC groups were comparable in terms of age, sex, disease characteristics, and comorbidities.
    • Key surgical outcomes including operative duration, hospital stay, complications, analgesic use, and conversion rates were not significantly different between the two groups.
    • The novel gasless SLC method was successfully implemented.

    Conclusions:

    • The gasless single-port laparoscopic cholecystectomy is a viable and effective alternative to CLC.
    • This technique is cost-effective, minimizes postoperative discomfort, and avoids additional scars.
    • Further advancements, such as articulating instruments, can improve visualization in SLC.