Single site laparoscopic simultaneous cholecystectomy, sleeve gastrectomy, and paraumbilical hernia – First case report

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A 45-year-old obese lady presented with symptomatic cholelithiasis and a para umbilical hernia. She underwent uneventful trans umbilical, single site laparoscopic cholecystectomy, Sleeve gastrectomy and paraumbilical hernia repair . This article is being published as it is the first reported from the middle east. Recent development of laparoscopy was represented with introduction of the concept of scarless surgery using natural orifice transluminal endoscopic surgery (NOTES), or its transumbilical counter part (NOTUS). Unfortunately,these two approaches have not been widly reported ,probably due to the need for specialized instruments, learning curve, and prolonged surgery time

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