Novel separable magnetically-controlled forceps system assisted single-port laparoscopic cholecystectomy: an initial experience sharing with a case report.

backgroundThe advancement of single-port laparoscopic cholecystectomy (SPLC) in primary hospitals in China continues to be impeded by formidable technical obstacles, including insufficient triangular relationships and suboptimal ergonomics. Therefore, a novel magnetically controlled separable forceps system was developed to improve the performance of SPLC. The objective of this study was to provide a comprehensive account of the initial experience with the separable magnetically-controlled forceps system. MATERIALS AND

methodsAnimals Experiments and a 52-year-old male (body mass index, 21.82) presented by the authors. Underwent a pure SPLC procedure using a subumbilical approach without additional trocars or sutures. The surgical procedure was facilitated using a novel separable magnetically controlled forceps system, that improved the surgical field of vision during dissection with less instrument coming from and being controlled from the same port of entry.

resultsNo adverse events occurred during the animal experiments. Meanwhile, the procedure on the human body was completed within 45 min. Notably, there were no recorded instances of pre- or postoperative complications, and the use of postoperative drains was unnecessary. Furthermore, the patient was discharged 8 h after the surgical intervention, and subsequent follow-up was uneventful for 30 days postoperatively.

conclusionThis innovative magnet-retracting forceps system allows portless access to the peritoneal cavity, providing surgeons with superior endoscopic views and the ease of maneuverability of retraction. The feasibility and safety of utilizing the novel separable magnetically controlled forceps for gallbladder retraction have been demonstrated using SPLC.