Single port cholecystectomy: The pathway back to a standardized technique

Michael A. Kia, Christina Lee, Jose M. Martinez, Natan Zundel

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Introduction: A novel multi-port (Triport+) and methodology were designed for single port cholecystectomy (SPC) to replicate the principles found in the gold standard 4-port laparoscopic cholecystectomy. We present the first case series utilizing the Triport+, and methodology through a single 15-mm periumbilical fascial incision. Methods: The 4 lumen multi-channel port was placed in the umbilicus through a measured 15-mm fascial incision. Instrument design and placement in the port is specific to the performance of the SPC. Retrospective review of the cases was performed. Results: 15 SPCs were performed without complications. No conversions or additional ports were required. Fascial defect size measured was 15 mm. Visualization of the critical view was obtained in each case. The mean total operative time was 36 minutes. Conclusion: The Triport+ and novel SPC methodology successfully replicate the standard of retraction and exposure in traditional 4-port laparoscopic cholecystectomy. This novel technique eliminates both instrument and hand conflict.

Original languageEnglish (US)
Pages (from-to)314-317
Number of pages4
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume21
Issue number5
DOIs
StatePublished - Oct 1 2011

Keywords

  • angles in retraction
  • fascial defect
  • laparoscopic cholecystectomy
  • single port cholecystectomy
  • SPC
  • TriportPlus
  • trocar

ASJC Scopus subject areas

  • Surgery

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