Difficulties and Countermeasures of Transumbilical Single Incision Laparoscopic Cholecystectomy

Abstract

With the development of minimally invasive surgical techniques, achieving cosmetic results and reducing surgical trauma to the greatest extent become the pursuit of the surgeon. Natural orifice transluminal endoscopic surgery (NOTES) was developed with “no scar,” was less invasive, and had a more esthetic effect. But NOTES is still difficult for broad clinical application because of the limitation of instruments and greater technical difficulty, with the risks of abdominal infection and organ perforation. Transumilical single incision laparoscopic surgery (TUSILC) hides bdominal operative scars by means of the umbilicus, a atural skin fold. The procedure achieves “no scar” in the bdominal wall and better cosmetic results and technical ifficulty and operative risk are greatly reduced. We find hat TUSILC has obvious advantages and is the most feaible NOTES operation. From February 2009 to October 2011, 254 patients with gallbladder disease were selected to undergo TUSILC.