Minimally invasive surgery has revolutionized modern surgical care by reducing patient trauma, hospital stay, and recovery time. Among these advancements, Single-Port Laparoscopic Surgery (SPLS) stands out as one of the most sophisticated and patient-friendly innovations. A remarkable demonstration of this technique is the Single-Port Triple Surgery, where three distinct pathologies—cholecystitis, ovarian cyst, and appendicitis—are managed simultaneously through a single umbilical incision. This approach not only minimizes scarring but also reflects the growing precision and efficiency of modern laparoscopy.

Concept and Technique

The Single-Port Triple Surgery involves performing three laparoscopic procedures—cholecystectomy, ovarian cystectomy, and appendectomy—through a single entry point, usually the umbilicus. A specialized single-port device is introduced, allowing the insertion of a laparoscope and multiple working instruments through the same access site. The surgeon uses articulated or roticulating instruments to overcome the challenges of limited triangulation, ensuring smooth dissection and optimal visualization.

The typical sequence of the surgery begins with cholecystectomy, where the gallbladder is carefully dissected from the liver bed and removed. This is followed by appendectomy, performed by identifying and ligating the appendix at its base. Finally, ovarian cystectomy is conducted to excise the cyst while preserving as much healthy ovarian tissue as possible. Throughout the procedure, meticulous surgical planning and patient positioning are critical to allow safe and efficient access to all three anatomical regions through a single incision.

Advantages of Single-Port Triple Surgery

The major benefit of this combined single-port approach is its minimal invasiveness. Instead of three separate surgeries, the patient undergoes one procedure under a single anesthesia, significantly reducing overall surgical trauma. The cosmetic outcome is outstanding, with only a small umbilical scar that is virtually invisible after healing.

Patients typically experience less postoperative pain, reduced risk of infection, and shorter hospital stays compared to traditional multi-port or open surgeries. Additionally, performing all three surgeries in one session saves healthcare costs and avoids the physical and emotional strain of multiple operations.

Challenges and Limitations

Despite its advantages, Single-Port Triple Surgery requires a high level of surgical expertise. The restricted working space and instrument crowding pose technical challenges, particularly in cases with severe inflammation or anatomical variations. Moreover, the risk of instrument collision and limited maneuverability can prolong operative time for less experienced surgeons. Therefore, this procedure is best performed by skilled laparoscopic surgeons with advanced training in single-port techniques.

Clinical Significance and Future Outlook

The success of single-port triple surgery underscores the evolution of laparoscopic innovation from multi-port to scarless surgery. As instrumentation, optics, and robotic assistance continue to advance, Natural Orifice Transluminal Endoscopic Surgery (NOTES) and single-incision robotic platforms may further enhance the safety and versatility of such combined procedures.

From a patient’s perspective, the ability to address multiple abdominal pathologies in a single, minimally invasive operation represents a major leap forward in surgical convenience, comfort, and recovery.

Conclusion

Single-Port Triple Surgery for cholecystectomy, ovarian cystectomy, and appendectomy exemplifies the pinnacle of minimally invasive surgical excellence. It harmonizes efficiency, safety, and aesthetics while reducing the overall burden on the patient. With growing expertise and technological support, this innovative approach is set to redefine the future of multi-organ laparoscopic surgery, offering patients a faster, safer, and more elegant path to recovery.