Surgical Endoscopy

, Volume 16, Issue 4, pp 589–591 | Cite as

A new technique for two-trocar laparoscopic cholecystectomy

  • T. Mori
  • Y. Ikeda
  • K. Okamoto
  • K. Sakata
  • K. Ideguchi
  • K. Nakagawa
  • T. Yasumitsu
Original Articles

Abstract

Background

New techniques for laparoscopic cholecystectomy (LC) that reduce the number of trocars or use very thin instruments have been devised with the goal of further minimizing surgical invasiveness.

Methods

We performed two-trocar LC using an original new technique in 70 consecutive patients. A 10-mm trocar and a 5-mm trocar were inserted in the subumbilical and epigastrium positions, respectively. A 2-mm grasper forceps was inserted directly without a trocar below the costal margin. The fundus of the gallbladder was ligated and lifted up with a folded 0 silk string and a 16-gauge vessel cannula.

Results

The mean operative time was 73.2±23.5 min. A third trocar was added in two cases. None of the patients required conversion of the procedure to an open cholecystectomy, and there were no intraoperative complications.

Conclusion

Based on our experience, we think that this technique is as safe and effective as the classic fourtrocar technique; moreover, it has a cost benefit.

Key words

Laparoscopic cholecystectomy Cholecystectomy Technique Trocars Two trocar LC Thin instruments 

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Copyright information

© Springer Science+Business Media New York 2002

Authors and Affiliations

  • T. Mori
    • 1
  • Y. Ikeda
    • 1
  • K. Okamoto
    • 1
  • K. Sakata
    • 1
  • K. Ideguchi
    • 1
  • K. Nakagawa
    • 1
  • T. Yasumitsu
    • 1
  1. 1.Department of SurgeryOsaka Prefectural Habikino HospitalHabikino-City, OsakaJapan

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