Single-Port Cholecystectomy Using a Completely Reusable Port Device: Standardized Technique

Abstract

Abstract Introduction: Laparoscopic cholecystectomy has been the gold standard for removal of the gallbladder since the early 1990s, and the advantages of minimally invasive surgery have been widely accepted.1,2 Compared with open approach, reduction of access trauma by laparoscopic-assisted surgery has proven beneficial in view of patients short-term outcome.3 To further minimize or completely vanish the abdominal wall trauma and emend cosmetic results, single-port access (SPA) surgery displays a substantial progress in minimally invasive surgery. At the same time, increased costs by using disposable systems are raising concerns about the method. Therefore, we demonstrate our technique using a completely reusable multichannel port device for single-port cholecystectomy (SPC) in a standardized technique that allows the maintenance of a safe critical view throughout the entire procedure.4 Methods: SPA cholecystectomy was performed using the totally reusable X-Cone™ single-port laparoscopic device (KARL STO...