Single Port Access Laparoscopic Cholecystectomy (with video)

  • Pascal BucherEmail author
  • François Pugin
  • Nicolas Buchs
  • Sandrine Ostermann
  • Fadi Charara
  • Philippe Morel



Single port access (SPA) surgery is a rapidly evolving field due to the complexity of NOTES (natural orifice translumenal endoscopic surgery). SPA combines the cosmetic advantage of NOTES and possibility to perform surgical procedure with standard laparoscopic instruments. We report a technique of umbilical SPA cholecystectomy using standard laparoscopic instruments and complying with conventional surgical principle and technique of minimally invasive cholecystectomy.


Preliminary, prospective experience of SPA cholecystectomy in 11 patients (median age, 46 (range, 27–63) years) scheduled for cholecystectomy was evaluated. Diagnoses for cholecystectomy were: symptomatic gallbladder lithiasis (n = 7), previous acute cholecystitis (n = 3), and biliary pancreatitis (n = 1).


SPA cholecystectomy was feasible in all patients (median body mass index, 24 (range, 20–34) kg/m2) who were scheduled for preliminary experience using conventional laparoscopic instruments. Median operative time was 52 (range, 40–77) minutes. Intraoperative cholangiography was performed in all patients, except one, and was considered normal. No peroperative or postoperative complications were recorded. Median hospital stay was less than 24 h.


SPA cholecystectomy is feasible and seems to be safe when performed by experienced laparoscopic surgeons using standard laparoscopic instrumentation. SPA cholecystectomy may be safer than the NOTES approach at this time. It has to be determined whether this approach would benefit patients, other than cosmesis, compared with standard laparoscopic cholecystectomy.


Laparoscopic Cholecystectomy Single Port Access Cosmetic Advantage Conventional Laparoscopic Instrument Standard Laparoscopic Cholecystectomy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Supplementary material 1 (MPG 15278 kb)


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Copyright information

© Société Internationale de Chirurgie 2008

Authors and Affiliations

  • Pascal Bucher
    • 1
    Email author
  • François Pugin
    • 1
  • Nicolas Buchs
    • 1
  • Sandrine Ostermann
    • 1
  • Fadi Charara
    • 1
  • Philippe Morel
    • 1
  1. 1.Department of SurgeryUniversity Hospital GenevaGenevaSwitzerland

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