2008 Annual Meeting Abstracts
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Single Incision Laparoscopic Cholecystectomy Using Flexible Endosocopy
Glenn Forrester*, John N. Afthinos, Eugenius J. Harvey, Steven Binenbaum, Grace J. Kim, Julio Teixeira
Minimally Invasive Surgery, St. Luke's-Roosevelt Hospital Center, New York, NY
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.
