Back to 2008 Program and Abstracts
We describe a technique for performing laparoscopic cholecystectomy through a single periumbilical incision using flexible endoscopic technology. Both a dual-channel flexible endoscope and a 5mm laparoscopic trocar are inserted into the peritoneal cavity through the same skin incision. The dissection of the gallbladder and the hilum is performed mostly using endoscopic tools, while ligation of hilar structures is done using standard clips. Though the procedure is technically challenging, the skills developed may serve as a bridge to performing NOTES.