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One Small Incision in the Navel Is All That's Needed With New Lap Chole System

The Fortimedix FMX314 requires one 15-millimeter trocar in the umbilicus.

Published: October 19, 2016

TWO IN ONE New system lets surgeons operate 2 instruments at once via a single port.

One small incision in the bellybutton, one giant leap forward for lap choles? Using a new system approved by the FDA in August, a surgical team at UC San Diego Health has performed what's thought to be the first successful removal of a gallbladder through a single 15-millimeter incision in the navel.

"Normally, a gallbladder removal would be performed with 4 incisions across the abdomen," says Santiago Horgan, MD, FACS, who led the surgical team. "We achieved the surgery with one small cut hidden in the umbilicus. So not only are there fewer incisions, the one that remains is incredibly small."

The surgery, which was done under general anesthesia in about 30 minutes, was performed with the Fortimedix FMX314 system, which lets surgeons use 2 instruments at once via a single port. Fortimedix Surgical planned to showcase the system at this week's American College of Surgeons Clinical Congress in Washington, D.C.

In addition to allowing for improved cosmesis, says Dr. Horgan, the approach should produce fewer complications, less post-op pain, faster recovery and less chance of hernia.

Jim Burger


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