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

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  • Published:
Journal of Hepato-Biliary-Pancreatic Surgery

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.

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Authors and Affiliations

  1. Department of Surgery, Kyorin University School of Medicine, 6-20-2 Shinkawa, Mitaka, Tokyo, 181-8611, Japan

    Nobutsugu Abe, Hirohisa Takeuchi, Hisayo Ueki, Osamu Yanagida, Tadahiko Masaki, Toshiyuki Mori, Masanori Sugiyama & Yutaka Atomi

Authors
  1. Nobutsugu Abe
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  2. Hirohisa Takeuchi
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  3. Hisayo Ueki
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  4. Osamu Yanagida
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  5. Tadahiko Masaki
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  6. Toshiyuki Mori
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  7. Masanori Sugiyama
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  8. Yutaka Atomi
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Correspondence to Nobutsugu Abe.

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Abe, N., Takeuchi, H., Ueki, H. et al. Single-port endoscopic cholecystectomy: a bridge between laparoscopic and translumenal endoscopic surgery. J Hepatobiliary Pancreat Surg 16, 633–638 (2009). https://doi.org/10.1007/s00534-009-0108-4

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  • DOI: https://doi.org/10.1007/s00534-009-0108-4

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