Journal of Hepato-Biliary-Pancreatic Surgery

, Volume 16, Issue 5, pp 633–638

Single-port endoscopic cholecystectomy: a bridge between laparoscopic and translumenal endoscopic surgery

  • Nobutsugu Abe
  • Hirohisa Takeuchi
  • Hisayo Ueki
  • Osamu Yanagida
  • Tadahiko Masaki
  • Toshiyuki Mori
  • Masanori Sugiyama
  • Yutaka Atomi
Surgeon at work

DOI: 10.1007/s00534-009-0108-4

Cite this article as:
Abe, N., Takeuchi, H., Ueki, H. et al. J Hepatobiliary Pancreat Surg (2009) 16: 633. doi:10.1007/s00534-009-0108-4

Abstract

Background and objective

The intentional puncture of the normal viscera is likely the most important issue limiting the widespread use of natural orifice translumenal endoscopic surgery (NOTES). We developed a new procedure for cholecystectomy using a flexible endoscope via a single port placed in the abdominal wall without visceral puncture (single-port endoscopic cholecystectomy; SPEC) as a bridge between laparoscopic surgery and NOTES. This study aimed to evaluate the technical feasibility of SPEC.

Methods

Five pigs were subjected to SPEC. An endoscope was inserted through a 12-mm port placed in the right upper abdomen. After grasping and retracting the gallbladder using a 2-mm retractor that was directly introduced into the peritoneal cavity, gallbladder excision with ligation of the cystic artery and duct using endoclips was carried out.

Results

A complete gallbladder excision was carried out easily and safely in all cases. No major adverse events occurred. The mean operating time was 67 min (range 52–84 min).

Conclusions

SPEC is a technically feasible procedure. It is simpler, easier, and safer than NOTES cholecystectomy. SPEC could be a less invasive alternative to the conventional four-port laparoscopic cholecystectomy.

Keywords

Single-port Cholecystectomy Natural orifice translumenal endoscopic surgery (NOTES) Single-port endoscopic cholecystectomy 

Copyright information

© Springer 2009

Authors and Affiliations

  • Nobutsugu Abe
    • 1
  • Hirohisa Takeuchi
    • 1
  • Hisayo Ueki
    • 1
  • Osamu Yanagida
    • 1
  • Tadahiko Masaki
    • 1
  • Toshiyuki Mori
    • 1
  • Masanori Sugiyama
    • 1
  • Yutaka Atomi
    • 1
  1. 1.Department of SurgeryKyorin University School of MedicineMitakaJapan

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