Journal of Gastrointestinal Surgery

, Volume 13, Issue 9, pp 1733–1740 | Cite as

A Comprehensive Review of Single-Incision Laparoscopic Surgery (SILS) and Natural Orifice Transluminal Endoscopic Surgery (NOTES) Techniques for Cholecystectomy

Review Article



Surgery of the gallbladder has evolved tremendously over the last century. Laparoscopic cholecystectomy is the gold standard for gallbladder removal and the most common laparoscopic procedure worldwide. In recent times, innovative techniques of natural orifice transluminal endoscopic surgery (NOTES) and single-incision laparoscopic surgery (SILS) have been applied in gallbladder removal as a step towards even more less-invasive procedures.


While NOTES and SILS represent the advent of essentially scarless surgery, limited applications of these technologies in human subjects exists. In this article, we present a comprehensive review of the potential benefits, limitations and risks of these novel techniques.


While much remains unknown and unanswered surrounding these procedures, it is clear that extensive research and development with regards to the ethics and the technical aspects of these procedures as well as randomized studies to compare them with traditional laparoscopy are essential.


Cholecystectomy Natural orifice transluminal endoscopic surgery NOTES Single-incision laparoscopic surgery SILS 


Financial Disclosure/Conflict of Interest



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Copyright information

© The Society for Surgery of the Alimentary Tract 2009

Authors and Affiliations

  • Ronald Scott Chamberlain
    • 1
    • 2
  • Sujit Vijay Sakpal
    • 1
  1. 1.Department of SurgerySaint Barnabas Medical CenterLivingstonUSA
  2. 2.Department of SurgeryUniversity of Medicine & Dentistry of New JerseyNewarkUSA

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