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Totally Transumbilical Laparoscopic Cholecystectomy

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Journal of Gastrointestinal Surgery Aims and scope

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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Authors and Affiliations

  1. Department of Surgery, Division of Upper GI and Endocrine Surgery, Columbia University College of Physicians and Surgeons/New York Presbyterian Hospital, 161 Fort Washington Ave, 8th Floor, New York, NY, 10032, USA

    Andrew A. Gumbs, Luca Milone, Prashant Sinha & Marc Bessler

Authors
  1. Andrew A. Gumbs
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  2. Luca Milone
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  3. Prashant Sinha
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  4. Marc Bessler
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Corresponding author

Correspondence to Andrew A. Gumbs.

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ESM 1 Introduction

(MOV 431 MB)

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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

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