{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T05:55:41Z","timestamp":1789883741306,"version":"4.0.1"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2014,11,11]],"date-time":"2014-11-11T00:00:00Z","timestamp":1415664000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>We previously demonstrated the advantages of a short\u2010type flexible endoscope as a working scope in laparoscopic surgery through single\u2010incision procedures in animal experiments. In this report, we examined the outcomes of laparoscopic surgery through a single incision using a flexible endoscope in a clinical setting. Specifically, we performed cholecystectomy using single\u2010incision multiport laparoendoscopic (<jats:styled-content style=\"fixed-case\">SIMPLE<\/jats:styled-content>) surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirteen patients with cholecystolithiasis or gallbladder polyp underwent <jats:styled-content style=\"fixed-case\">SIMPLE<\/jats:styled-content> cholecystectomy using a newly developed short\u2010type flexible endoscope with a working length of 60\u2009cm. Twenty\u2010seven patients underwent standard single\u2010incision laparoscopic cholecystectomy using a 5\u2010mm rigid laparoscope. We retrospectively compared the surgical outcomes between the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">SIMPLE<\/jats:styled-content> cholecystectomy using the short\u2010type flexible endoscope was successfully carried out. No gallbladder perforation occurred, but perforation occurred in four cases in the standard laparoscopic cholecystectomy group; however, the difference was not statistically significant. Although no other surgical outcomes differed between the two groups, the flexible endoscope had several advantages over the standard laparoscope. The scope provided a flexible view of the operating field. The gallbladder dissection using the cutting device via the scope was easier and safer than that in standard single\u2010incision laparoscopic cholecystectomy. The water\u2010jet, suctioning, and self\u2010cleaning lens functions of the scope served the surgery well.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">SIMPLE<\/jats:styled-content> cholecystectomy using a short\u2010type flexible endoscope has surgical outcomes equivalent to those of standard single\u2010incision laparoscopic cholecystectomy, but this endoscope with multiple functions may make the surgical procedures less stressful and safer.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ases.12148","type":"journal-article","created":{"date-parts":[[2014,11,11]],"date-time":"2014-11-11T07:53:09Z","timestamp":1415692389000},"page":"48-53","source":"Crossref","is-referenced-by-count":1,"title":["Single\u2010incision multiport laparoendoscopic surgery using a short\u2010type flexible endoscope and its usefulness in cholecystectomy"],"prefix":"10.1111","volume":"8","author":[{"given":"Takashi","family":"Yamaguchi","sequence":"first","affiliation":[{"name":"Department of Surgery Nakanokouseikai General Hospital  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobutsugu","family":"Abe","sequence":"additional","affiliation":[{"name":"Department of Surgery Kyorin University School of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuuichiro","family":"Matsunobu","sequence":"additional","affiliation":[{"name":"Department of Surgery Seibo General Hospital  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideaki","family":"Mizuno","sequence":"additional","affiliation":[{"name":"Department of Surgery Mejiro Second General Hospital  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osamu","family":"Yanagida","sequence":"additional","affiliation":[{"name":"Department of Surgery Nakanokouseikai General Hospital  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirohisa","family":"Takeuchi","sequence":"additional","affiliation":[{"name":"Department of Surgery Kyorin University School of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tadahiko","family":"Masaki","sequence":"additional","affiliation":[{"name":"Department of Surgery Kyorin University School of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshiyuki","family":"Mori","sequence":"additional","affiliation":[{"name":"Department of Surgery Kyorin University School of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masanori","family":"Sugiyama","sequence":"additional","affiliation":[{"name":"Department of Surgery Kyorin University School of Medicine  Tokyo 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