Cosmetic minilaparoscopic cholecystectomy

Background: Since its introduction in 1987, the technique of laparoscopic cholecystectomy has continued to undergo evolution. One area of refinement has been the optimization of cosmetic results. Surgeons have reduced port size and number or both in attempts to achieve this goal. In this report, we describe a method of adjusting port position to obtain more discreet scars. Methods: Minilaparoscopic cholecystectomy is performed using three 5-mm ports. One port is placed in the umbilicus. Instead of placing the two additional ports in the right subcostal and subxiphoid positions, they are moved to either side of midline at the level of the pubic hairline. Results: The result is one scar hidden in the umbilicus, with the two other scars located below the bikini line. These scars are nearly undetectable when the patient is wearing minimal clothing. Conclusion: We conclude that, in addition to minimizing port size and number, positioning of ports can be used to optimize cosmetic results.