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Journal of Hepato-Biliary-Pancreatic Sciences

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01-09-2009 | Surgeon at work

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

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

Published in: Journal of Hepato-Biliary-Pancreatic Sciences | Issue 5/2009

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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Title: Single-port endoscopic cholecystectomy: a bridge between laparoscopic and translumenal endoscopic surgery
Authors: Nobutsugu Abe
Hirohisa Takeuchi
Hisayo Ueki
Osamu Yanagida
Tadahiko Masaki
Toshiyuki Mori
Masanori Sugiyama
Yutaka Atomi
Publication date: 01-09-2009
Publisher: Springer Japan
Published in: Journal of Hepato-Biliary-Pancreatic Sciences / Issue 5/2009
Print ISSN: 1868-6974
Electronic ISSN: 1868-6982
DOI: https://doi.org/10.1007/s00534-009-0108-4

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

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

Abstract

Background and objective

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background and objective

Methods

Results

Conclusions

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