SSAT - The Standardization of Laparo-Endoscopic Single Site (LESS) Cholecystectomy

The Standardization of Laparo-Endoscopic Single Site (LESS) Cholecystectomy
Sharona B. Ross^*^1,2, Alexander S. Rosemurgy², Michael H. Albrink^1,2, Edward Choung², Scott F. Gallagher¹⁰, Jonathan M. Hernandez¹, Santiago Horgan^18,14, Michael Kia²⁰, Jeffrey M. Marks⁶, Jose Martinez¹⁷, Yoav Mintz¹², Harold Paul², Aurora D. Pryor³, David W. Rattner^7,8, Homero Rivas⁹, Kurt E. Roberts⁵, Eugene Rubach¹⁵, Steven D. Schwaitzberg^8,19, Lee L. Swanstrom¹⁶, John F. Sweeney¹¹, Erik Wilson¹³, Harry Zemon⁴, Natan Zundel²¹
¹Surgery, University of South Florida, Tampa, FL; ²Tampa General Hospital, Tampa, FL; ³Surgery, Stony Brook University, New York, NY; ⁴Surgery, North Shore Lij Hospital, New Hyde Park, NY; ⁵Surgery, Yale Medical Group, New Haven, CT; ⁶Surgery, University Hospitals Case Medical Center, Cleveland, OH; ⁷Surgery, Massachusetts General Hospital, Boston, MA; ⁸Surgery, Harvard Medical Group, Boston, MA; ⁹Surgery, Stanford School of Medicine, Stanford, CA; ¹⁰Surgery, Forsyth Medical Center, Winston-Salem, NC; ¹¹Surgery, Emory University, Atlanta, GA; ¹²Surgery, Hadassah Hebrew University Medical Center, Jerusalem, Israel; ¹³Surgery, The University of Texas Medical School at Houston, Houston, TX; ¹⁴Surgery, University of California, San Diego, CA; ¹⁵Surgery, New Jersey Medical School, Newark, NJ; ¹⁶The Oregon Clinic, Portland, OR; ¹⁷Surgery, University of Miami Health Systems, Miami, FL; ¹⁸Surgery, UC San Diego Medical Center, San Diego, CA; ¹⁹Cambridge Health Alliance, Cambridge, MA; ²⁰Surgery, McLaren Regional Medical Hospital, Flint, MI; ²¹Florida International University College of Medicine, Miami, FL

This video presents a standardized approach to LESS cholecystectomy. Bupivacaine was injected at the umbilicus. A 12mm vertical incision was made. A 4-trocar port was inserted. A 5mm deflectable tip laparoscope was utilized. With specific placement as denoted in the video, a bariatric length grasper and a bent grasper retracted the gallbladder. A window was developed between the gallbladder and the liver bed, promoting the “critical view.” The cystic duct and artery were divided and the gallbladder removed. The diaphragm was irrigated with bupivacaine solution. The umbilical defect was closed in a figure-of-eight fashion. This video promotes a standardized approach to LESS cholecystectomy.

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