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J Gastrointest Surg. 2009 Jan;13(1):159-62. doi: 10.1007/s11605-008-0737-y. Epub 2008 Oct 30.

Transumbilical Gelport access technique for performing single incision laparoscopic surgery (SILS).

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  • 1Emory Endosurgery Unit, Department of Surgery, Emory University, 1364 Clifton Road, Suite H-127, Atlanta, GA 30322, USA.



Single incision laparoscopic surgery (SILS) is an area of active research within general surgery.


A number of procedures, including cholecystectomy, appendectomy, urologic procedures, adrenalectomy, and bariatric procedures, are currently being performed with this methodology. There is, as yet, no standard published technique for single-port access to the peritoneal cavity for SILS. We describe, herein, an access technique utilizing existing instrumentation including a Gelport and wound retractor that is reliable and easy. This technique has been used successfully at our institution for a number of single incision laparoscopic procedures.

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