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Needlescopic Surgery


Single Port Surgery

Needlescopic Surgery

Reducing the size and number of standard laparoscopic ports in common operations like gallbladder, hernia, appendix and Nissen’s fundoplication surgery is hugely beneficial to patients in terms of less post-operative pain and quicker recovery. No need to mention that cosmesis is much better after Needlescopic surgery than standard laparoscopic or robotic-assisted laparoscopic surgery. The scars are minimal and not very obvious on a fleeting glance. Needlescopic surgery is superior to “Single Port Laparoscopy” (SPL) or “Single Incision Laparoscopic Surgery” (SILS), as far as safety and operative times are concerned.

Single Port Surgery

In SPL and SILS, a single 3-5 cm cut is made near the belly button, and a sizeable multi-channel port is placed through this in the abdomen. The camera and all the instruments as passed through this port to perform the operation. If surgery is not possible this way, then additional ports can be placed on other sites of the abdominal to perform the operation. 

Issues with Single Port Surgery

Department of health in the United Kingdom sought advice on the safety and status of Single port surgery whilst Professor Nisar served as an executive council member in the Association of Laparoscopic Surgeons Great Britain and Ireland (ALSGBI), London, United Kingdom. The advice that was given on the safety and status of SILS / SPL and its comparison to standard laparoscopic surgery is as follows:

  • Overcrowding of the instruments through one tight port. 
  • Limited views, difficult dissection, and mobilisation due to compromised access to the target organ. 
  • An increased risk of port-site hernia compared to standard laparoscopic surgery, Needlescopic surgery. 

We Offer

We do have the skills and facility to offer both surgeries in our hospital. There is certainly a role for SPL approach in some cases; however, all the pros and cons are discussed with the patients who are suitable for this approach and who see an advantage with this type of surgery. 

Comparison Table of various Techniques (in order of preference

Gallbladder Surgery Technique Total size of cuts
 Cosmetic Mini Scar Less (MSL) Laparoscopic Cholecystectomy “Amir-Kennedy Cholecystectomy Technique” 1.4cm 14mm 0.55 inch (Just over half an inch)
Needlescopic Cholecystectomy 1.6cm 16mm 0.63 inch
Laparoscopic Cholecystectomy 3cm 30mm 1.2 inches
Robotic Assisted Laparoscopic Cholecystectomy 3cm 30mm 1.2 inches
SILS (Single Incision Laparoscopic Surgery) 4.5cm 45mm 1.8 inches
e-NOTES (embryonic Natural Orifice Transluminal Endoscopic Surgery) 4.5cm 45mm 1.8 inches
Open Cholecystectomy 20cm 200mm 8 inches