Reduced Port Surgery: Single Port Access to the Abdominal and Pelvic Cavity

  • Paul G. CurcilloII
  • Stephanie A. King
  • Erica R. Podolsky


The true definition of a “dilemma” is the presence of “two truths.” It does not always mean a person must choose between the alternatives, but at times face the dilemma that he or she needs to accept both truths, although one may not be a desirable as the other. This very idea of accepting a desirable path along with a not so desirable path is faced by surgeons and their patients every day. As we look to offer patients treatment and potential cure of their disease, we also offer the unfortunate truth that along with the desired path of improving their condition they will certainly experience “the pain” that we inflict upon them.


Laparoscopic Cholecystectomy Cystic Duct Port Site Fascial Defect Single Port Access 
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  1. 1.
    Rao PP, Bhagwat SM, Rane A, Rao PP. The feasibility of single port laparoscopic cholecystectomy: a pilot study of 20 cases. HPB. 2008;10(5):336–40.PubMedCrossRefGoogle Scholar
  2. 2.
    Curcillo PG, Podolsky ER, Rottman SJ. Single port access (SPA): cholecystectomy. Gastroenterology. 2008;134(4):A-858.CrossRefGoogle Scholar
  3. 3.
    Schollmeyer T, Soyinka AS, Schollmeyer M, Meinhold-Heerlein I. Georg Kelling (1866–1945): the root of modern day minimal invasive surgery. A forgotten legend? Arch Gynecol Obstet. 2007;276(5):505–9.PubMedCrossRefGoogle Scholar
  4. 4.
    Pelosi MA, Pelosi 3rd MA. Laparoscopic hysterectomy with bilateral salpingo-oophorectomy using a single umbilical puncture. N J Med. 1991;88(10):721–6.PubMedGoogle Scholar
  5. 5.
    Pelosi MA, Pelosi 3rd MA. Laparoscopic appendectomy using a single umbilical puncture (minilaparoscopy). J Reprod Med. 1992;37(7):588–94.PubMedGoogle Scholar
  6. 6.
    Navarra G, Pozza E, Occhionorelli S, Carcoforo P, Donini I. One-wound laparoscopic cholecystectomy. Br J Surg. 1997;84:695.PubMedCrossRefGoogle Scholar
  7. 7.
    Navarra G, Ascanelli S, Sortini D, Soliani G, Pozza E, Carcoforo P. Laparoscopic transabdominal suspension sutures. Surg Endosc. 2002;16(9):1378.PubMedCrossRefGoogle Scholar
  8. 8.
    Podolsky ER, St John-Dillon L, King SA, Curcillo PG. Reduced port surgery: an economical, ecological, educational, and efficient approach to development of single port access surgery. Surg Technol Int. 2010;20:41–6.PubMedGoogle Scholar
  9. 9.
    Podolsky ER, Curcillo PG. Single port access surgery: evaluation of access platforms, versatility and fascial defects. Surg Endosc. 2010;24:S639. doi: 10.1007/s00464-010-0972-7.Google Scholar
  10. 10.
    Podolsky ER, Curcillo PG. Reduced-port surgery: preservation of the critical view in single-port-access cholecystectomy. Surg Endosc. 2010;24(12):3038–43.PubMedCrossRefGoogle Scholar
  11. 11.
    Podolsky ER, Curcillo PG. A comparison of independence of motion in single port access techniques. Surg Endosc. 2010;24:S499. doi: 10.1007/s00268-011-1099.CrossRefGoogle Scholar
  12. 12.
    Slim K, Pezet D, Stencl Jr J, Lechner C, Le Roux S, Lointier P, et al. Laparoscopic cholecystectomy: an original three-trocar technique. World J Surg. 1995;19(3):394–7.PubMedCrossRefGoogle Scholar
  13. 13.
    Mori T, Ikeda Y, Okamoto K, Sakata K, Ideguchi K, Nakagawa K, et al. A new technique for two-trocar laparoscopic cholecystectomy. Surg Endosc. 2002;16(4):589–91.PubMedCrossRefGoogle Scholar
  14. 14.
    Sarli L, Iusco D, Gobbi S, Porrini C, Ferro M, Roncoroni L. Randomized clinical trial of laparoscopic cholecystectomy performed with mini-instruments. Br J Surg. 2003;90(11):1345–8.PubMedCrossRefGoogle Scholar
  15. 15.
    Podolsky ER, Rottman SJ, Curcillo 2nd PG. Single port access (SPA) gastrostomy tube in patients unable to receive percutaneous endoscopic gastrostomy placement. Surg Endosc. 2009;23(5):1142–5.PubMedCrossRefGoogle Scholar
  16. 16.
    Podolsky ER, Rottman SJ, Poblete H, King SA, Curcillo PG. Single port access (SPA) cholecystectomy: a completely transumbilical approach. J Laparoendosc Adv Surg Tech A. 2009;19(2):219–22.PubMedCrossRefGoogle Scholar
  17. 17.
    Podolsky ER, Rottman SJ, Curcillo 2nd PG. Single port access (SPA) cholecystectomy: two year follow-up. JSLS. 2009;13(4):528–35.PubMedCrossRefGoogle Scholar
  18. 18.
    Romanelli JR, Roshek 3rd TB, Lynn DC, Earle DB. Single-port laparoscopic cholecystectomy: initial experience. Surg Endosc. 2010;24(6):1374–9.PubMedCrossRefGoogle Scholar
  19. 19.
    Gumbs AA, Milone L, Sinha P, Bessler M. Totally transumbilical laparoscopic cholecystectomy. J Gastrointest Surg. 2009;13(3):533–4.PubMedCrossRefGoogle Scholar
  20. 20.
    Wu AS, Podolsky ER, King SA, Curcillo 2nd PG. Single port access (SPA) technique: video summary. Surg Endosc. 2010;24(6):1473.PubMedCrossRefGoogle Scholar
  21. 21.
    Curcillo PG, Podolsky ER, King SA – The Road to Reduced Port Surgery: From Single Big Incisions to Single Small Incisions, and Beyond. World J Surg. 2011 Jul;35(7):1526-31. DOI 10.1007/s00268-011-1099-2Google Scholar

Copyright information

© Springer-Verlag London Limited 2012

Authors and Affiliations

  • Paul G. CurcilloII
    • 1
  • Stephanie A. King
    • 1
  • Erica R. Podolsky
    • 2
  1. 1.Department of Surgical OncologyFox Chase Cancer CenterPhiladelphiaUSA
  2. 2.Department of Surgery, College of MedicineDrexel UniversityPhiladelphiaUSA

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