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Operative Technique
October 19, 2009

Transumbilical Laparoscopic CholecystectomyA Novel Technique

Author Affiliations

Author Affiliations: Easton Hospital, Easton, Pennsylvania.

Arch Surg. 2009;144(10):957-960. doi:10.1001/archsurg.2009.165

Objective  To describe a novel technique for performing laparoscopic cholecystectomies using no proprietary or specially designed equipment, while still minimizing the incision and leaving a nearly invisible scar.

Design  Retrospective review.

Setting  Community teaching hospital.

Patients  Twelve patients having uncomplicated laparoscopic cholecystectomy.

Main Outcome Measures  Number and appearance of postoperative scars.

Results  Twelve attempts to perform the procedure with our new technique were completed successfully. None of the patients required conversion to the standard technique, which requires additional ports. All of the patients were pleased with their results. No identifiable mark was visible in the right upper quadrant of any of the patients; at the 2-week follow-up, the umbilical incisions were nearly invisible, even to the patients.

Conclusion  This novel technique can be performed safely and effectively while minimizing the number and extent of incisions.