Totally transumbilical laparoscopic cholecystectomy.
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.
Gumbs
Andrew A
AA
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. ag2462@columbia.edu
Milone
Luca
L
Sinha
Prashant
P
Bessler
Marc
M
D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D006801:Humans; D014472:Umbilicus