Single-incision laparoscopic cholecystectomy (Single Port)

Laparoscopic cholecystectomy has been the “gold-standard” for the surgical removal of the gallbladder for close to 25 years now. This technique replaced the over-a-century old technique of a long, painful, muscle cutting incision in the right upper part of the abdomen. During laparoscopic cholecystectomy, 3 or 4 small incisions (0.5-1cm) are made, thin and long instruments are inserted along with a camera, the gallbladder is carefully and safely disconnected from its attachments and removed. This technique is associated with no or minimal postoperative discomfort, rapid recuperation, early return to oneʼs usual level of activity and work. Certainly, laparoscopic cholecystectomy has been a huge leap forward in the evolution of surgical technique. However, we should always strive for the best, so our team was the first to successfully perform a laparoscopic cholecystectomy through just one (not 3 or 4) small incision. This technique is technically very demanding, but leads to even better cosmetic result. The single incision required is made and “hidden” in the groove of the umbilicus and after a while can be hardly seen. Single-incision laparoscopic cholecystectomy should be always considered in patients highly cognizant of the aesthetic result of their operation.