World Journal of Laparoscopic Surgery

Register      Login

VOLUME 3 , ISSUE 1 ( January-April, 2010 ) > List of Articles


Single Port Endolaparoscopic Surgery (SPES) in Double Abdominal Procedures

Michael M Lawenko, Javier Lopez-Gutierrez, Alembert Lee-Ong, Davide Lomanto

Citation Information : Lawenko MM, Lopez-Gutierrez J, Lee-Ong A, Lomanto D. Single Port Endolaparoscopic Surgery (SPES) in Double Abdominal Procedures. World J Lap Surg 2010; 3 (1):45-47.

DOI: 10.5005/jp-journals-10007-1081

Published Online: 01-08-2012

Copyright Statement:  Copyright © 2010; The Author(s).



Single port endolaparoscopic Surgery (SPES) has gained enthusiasm in the surgical community because of the perceived better postoperative outcome, namely a single incision. We write this prospective observational study to ascertain the feasibility and safety of this technique in patients needing two operations.


Three patients who underwent double procedures each. Case 1: Transabdominal preperitoneal hernia repair with gastric wedge resection. Case 2: Cholecystectomy with diaphragmatic hernia repair. Case 3: Oophorectomy with incisional hernia repair. Patient demographics, type of port used, operating time, complications and scar length were collected.


Operating time for the first case was 250, 210 and 105 minutes respectively. Incision length varied from 2 to 3 cm. Addition of a 5 mm port and an intraoperative complication of a laceration of the liver after suturing of the gallbladder fundus was noted in the second case.


SPES is a feasible and safe technique for approaching double procedures. It drastically reduces the number of scars that a double procedure creates and if difficulty arises another port can always be added to ease the operation.

PDF Share
  1. Cholecystecktomie durch das laparpskop. (The first laparoscopic cholecystectomy). Langenbecks Arch Surg 1986;369:804.
  2. History of endoscopic and laparoscopic surgery. World J Surg 1987;21:444-53.
  3. Celioscopie surgery, Evolution and revolution. Chirurgie 1990;116(10):829-32.
  4. Randomized trial of needlescopic vs laparoscopic cholecystectomy. Br J Surg 2001;88(1):45-47.
  5. Needlescopic versus laparoscopic cholecystectomy. A prospective study of 60 patients. Acta Cir Bras 2008;23(6):543-50.
  6. Needlescopic versus laparoscopic appendectomy: A systematic review. Can J Surg 2009;52(2):129-34.
  7. Needlescopic versus laparoscopic cholecystectomy: A meta-analysis. ANZ J Surg 2009;79(6):437-42.
  8. Needlescopic clipless cholecystectomy as an efficient, safe, and cost-effective alternative with diminutive scars: The first 1000 cases. Surg Laparosc Endosc Percutan Tech 2009;19(5):368-72.
  9. Single-port access laparoscopic cholecystectomy. Surg Endosc 2009;23:1138-41.
  10. Surg Endosc DOI 10.1007/s00464-009-0663-4, Sep 3, 2009.
  11. Single-port transvesical simple prostatectomy: Initial clinical report. Urology 2008;72(5):960-65.
  12. Single-port laparoscopy in colorectal surgery. Colorectal Dis 2008;10(8):823-26.
  13. Single port laparoscopic surgery: An overview. Surg Endosc 2009;23(7):1419-27.
  14. Single Incision Laparoscopic Surgery: Review of the literature and our initial experience. Asian J Endo Surg 2009;2:29-35.
  15. Single port laparoscopic cholecystectomy with the Triport system: A case report. Surg Innov 2008;15:223-28.
  16. Two-trocar laparoscopic cholecystectomy: A reproducible technique. Surg Laparosc Endosc Percutan Tech 2001;11(4):248-51.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.