Surgical Endoscopy

, Volume 23, Issue 5, pp 1138–1141

Single-port access in laparoscopic cholecystectomy

  • Thomas E. Langwieler
  • Thomas Nimmesgern
  • Melanie Back
New Technology

DOI: 10.1007/s00464-009-0389-3

Cite this article as:
Langwieler, T.E., Nimmesgern, T. & Back, M. Surg Endosc (2009) 23: 1138. doi:10.1007/s00464-009-0389-3

Abstract

Background

Single-port access cholecystectomy is a new laparoscopic procedure using only one, transumbilical-placed port. The method has been denominated by some authors as “scarless.” We report one of the initial clinical experiences in Europe with this new technique.

Methods

Fourteen patients underwent laparoscopic cholecystectomy using the ASC TriPort. In all cases, a small transumbilical incision was used to insert two 5-mm rigid laparoscopic instruments and a 5-mm 30° telescope via the Triport. Hemostasis control was obtained by using an ultrasonic cutting device (SonoSurg, Olympus), Endo Clips (Covidien), and Lapro-Clips (Covidien).

Results

All cases were completed successfully. There were no perioperative port-related or surgical complications. No extra skin incisions were needed. Operative time was longer than in common laparoscopic cholecystectomy.

Conclusions

Transumbilical single-port access cholecystectomy (SPACE) is a feasible technique for operating with less scars and reducing postoperative discomfort at the same time. The transumbilical single-port access for laparoscopic cholecystectomy has multiple benefits, such as better cosmetic results, less wound infections, and less incisional hernias. That is why SPACE is even more appropriate for obese patients. Using one-hand specialized instruments, which are curved at the shaft, and a semiflexible laparoscopic camera (LTFVH, Olympus) will make SPACE more comfortable and more time-saving.

Keywords

Single-port accessCholecystectomyScarless surgery

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Thomas E. Langwieler
    • 1
  • Thomas Nimmesgern
    • 1
  • Melanie Back
    • 1
  1. 1.Department of General and Visceral Surgery and Minimally Invasive SurgeryEv. Amalie Sieveking-HospitalHamburgGermany