Abstract
A recently convened Consortium at the Cleveland Clinic agreed on the term Laparo-Endoscopic Single-Site (LESS) surgery to describe minimally invasive techniques that use a single incision to accomplish laparoscopic procedures. These procedures are done by using either a single port through one fascial incision or multiple ports placed through separate fascial incisions. Because of cost containment issues and the lack of widespread availability of a single port, we currently use multiple reusable ports placed through three separate fascial incisions via a transumbilical incision. As opposed to standard laparoscopic cholecystectomy, a deflecting laparoscope and one articulating instrument are utilized to improve the safety and ease of this procedure. Presented in this video are the steps necessary to perform a LESS cholecystectomy via a transumbilical incision with commercially available instruments.
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Gumbs, A.A., Milone, L., Sinha, P. et al. Totally Transumbilical Laparoscopic Cholecystectomy. J Gastrointest Surg 13, 533–534 (2009). https://doi.org/10.1007/s11605-008-0614-8
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DOI: https://doi.org/10.1007/s11605-008-0614-8