How is the single-port laparoscopic cholecystectomy technique used in the short-course ward?

  The cheerful Ms. Zhao has been a little bit depressed in the past half a year, and she has never taken time off work, she actually has to take a few days off work every 1-2 months, and only after careful colleagues visited her did they know she was sick. It turns out that Ms. Zhao was found to have gallbladder stones 3 years ago during a physical examination, but there were no obvious symptoms onset, because she was afraid that the surgery would be traumatic and would leave scars on her young and beautiful belly. I have been putting off further treatment. However, my body did not compete, and I had been having gallbladder attacks for more than half a year, and I had to take several days off work for each attack.  In June this year, by chance, Ms. Zhao learned from the newspaper that Xinhua Hospital affiliated with Shanghai Jiaotong University School of Medicine was the first to carry out single-port laparoscopic cholecystectomy in Shanghai, which can remove the gallbladder through the body’s natural scar – the umbilical hole, minimizing trauma and not increasing the scar on the abdominal wall, so Ms. Zhao came to Xinhua Hospital with the psychology of trying. The doctor was Professor Liu Yingbin, Director of General Surgery of Xinhua Hospital. After carefully inquiring about her condition and checking the relevant ultrasound examination, Professor Liu Yingbin decided to admit her to the short course ward of Xinhua Hospital. The next day, under the guidance of Prof. Liu, a single-port transumbilical laparoscopic cholecystectomy was completed by Dr. Chaohui Tang, Associate Professor of General Surgery, and Ms. Zhao was out of bed on the day after the operation and discharged on the third day, with a hospital stay of less than 48 hours. Ms. Zhao not only solved the disease, but also left no obvious scars on her belly. When she was discharged, she could not stop lamenting the convenience and benefits brought to her by high technology.  With the rapid development and increasing maturity of laparoscopic technology, we have entered the era of minimally invasive surgery, and while solving patients’ problems, surgeons have begun to devote themselves to further reducing trauma and achieving the perfect combination of minimally invasive and cosmetic surgery. The abdominal wall poking holes for laparoscopic cholecystectomy have also evolved from the classical four-hole and mainstream three-hole to the over-the-top two-hole and single-hole transumbilical techniques with no scars on the abdominal wall. We all know that the umbilical orifice is the natural orifice in embryonic period and the only scar inherent in the body. If the intra-abdominal organ surgery is completed through the umbilical orifice, it can avoid the abdominal wall incision and achieve the effect of scarless surgery, and the operation can be completed with conventional laparoscopic instruments, and the cost is not only not increased but relatively reduced. Therefore, on the basis of mastering the indications, transumbilical single-port laparoscopic surgical technique is practically feasible at present. Not only is it minimally invasive, cosmetic and economical, but also due to the reduction of poking holes, patients’ pain is relatively reduced, recovery is faster, and complications associated with poking holes are relatively reduced.  On the basis of carrying out conventional minimally invasive surgery, the Department of General Surgery of Xinhua Hospital is the first in Shanghai to carry out single-hole laparoscopic cholecystectomy, as well as single-hole laparoscopic appendectomy, single-hole laparoscopic renal cyst windowing and single-hole laparoscopic abdominal exploration tumor biopsy. There are very few hospitals that can arrange laparoscopic cholecystectomy in short-course wards. The length of stay in the surgical ward of general hospitals for this kind of surgery is usually about one week, so it is very demanding to include it in the three-day short-course surgery ward for treatment. In addition, the hospitalization cost of patients is reduced. More patients have felt the “efficient and safe” surgical service, which has brought them good news.