Li Hucheng, director of the Department of Hepatobiliary Medicine, led his team to perform a successful one-hole, three-vertebral laparoscopic cholecystectomy on an elderly male patient. This was the first time this technique was used in Beijing. Unlike the one-hole, three-spine approach where a 2.5 cm incision is made in the umbilicus, a special three-in-one sheath is placed, and three surgical instruments are placed inside this sheath, the one-hole, three-spine approach simply places three 5 mm sheaths in a 1.5 cm incision. In terms of instrumentation, the one-hole, three-vertebral approach uses all of the existing laparoscopic equipment without adding any new instruments, whereas the one-vertebral, three-hole approach requires the addition of a special three-hole sheath and the purchase of a complete set of special surgical instruments. After the surgery, the patient has only a 1.5 cm incision on the lower edge of the umbilical fossa, and the incision is closed with biologic adhesive, so that no wound or sutures are visible on the entire abdominal wall, which is known in the medical community as abdominal wall sore-free surgery. This procedure is less invasive, faster recovery, and more economical and simple than the classic three- or four-hole method of cholecystectomy.