This video demonstrate Patient with symptomatic Cholelithiasis and also appendicitis was encountered , planned to proceed both procedure with laparoscopic apporach and we did try with same port of lap cholecystectomy to know about difficulty to surgeons about the approach to appendix. as it was difficult with length and ergonomics to angle to target we approach for . Initial approach to lap cholecystectomy was as usual.
Minimally invasive surgery has revolutionized modern surgical practice by reducing postoperative pain, shortening hospital stay, and improving cosmetic outcomes. Among the most advanced developments in this field is single-port or single-incision laparoscopic surgery, where multiple procedures can be performed through one small incision, usually at the umbilicus. Performing cholecystectomy and appendectomy through the same port represents a major step forward in surgical innovation, and institutions such as World Laparoscopy Hospital are known for promoting advanced minimal access surgical techniques and training.
Cholecystectomy (removal of the gallbladder) and appendectomy (removal of the appendix) are two of the most commonly performed abdominal surgeries worldwide. Traditionally, these procedures were done separately or through multiple laparoscopic ports. However, with the advancement of single-incision laparoscopic surgery (SILS), surgeons can now treat coexisting gallbladder and appendix diseases simultaneously using a single entry point. This approach uses conventional laparoscopic instruments inserted through a single umbilical incision, allowing surgeons to perform both procedures without additional cuts.
Clinical studies have demonstrated that combined single-incision laparoscopic cholecystectomy and appendectomy is technically feasible and safe in selected patients. In one reported series, all combined procedures were completed successfully without conversion to open surgery, and patients experienced high satisfaction due to good cosmetic and therapeutic outcomes. Such findings suggest that same-port surgery can be an effective alternative to conventional multi-port laparoscopic procedures when both pathologies coexist.
The single-port technique typically involves a small incision of about 1.5–2.5 cm at the umbilicus, through which a specialized multi-channel port is inserted. Through this port, the surgeon performs dissection of the gallbladder from the liver bed, clips and divides the cystic duct and artery, and removes the gallbladder. The same port is then used to locate, ligate, and remove the appendix. This method offers several advantages such as minimal visible scarring, reduced postoperative pain, and faster recovery, although it requires advanced surgical skill due to limited working space and instrument crowding.
At World Laparoscopy Hospital, the focus is on advanced laparoscopic training, research, and adoption of innovative surgical technologies. The institution emphasizes competency-based training, research development, and exposure to complex minimally invasive procedures, helping surgeons master techniques such as single-port and combined laparoscopic surgeries. This commitment ensures that surgeons are well equipped to perform advanced procedures safely and effectively.
Another important benefit of performing both procedures through a single port is reduced operative trauma and shorter hospital stay, which ultimately improves patient quality of life. Patients also benefit psychologically due to almost scarless surgery, better body image, and quicker return to normal daily activities compared to traditional multi-port methods. However, surgeons must carefully select patients, as complicated cases such as perforated appendicitis or severe inflammation may require conversion to multi-port or open surgery.
In conclusion, performing cholecystectomy and appendectomy through the same port represents an advanced evolution of minimally invasive surgery. With proper patient selection and skilled surgical expertise, this technique offers excellent cosmetic results, faster recovery, and reduced surgical trauma. With institutions like World Laparoscopy Hospital continuously promoting innovation, training, and research in minimal access surgery, combined single-port procedures are likely to become more common in the future, benefiting both surgeons and patients alike.
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