Modified 2 ports and doll's threads laparoscopic cholecystectomy: a preliminary report

ABSTRACT

Preliminary experience with the use of "two ports" technique was reported evaluating its technical aspects and outcome. This technique was performed in 15 patients scheduled for laparoscopic cholecystectomy [LC] for symptomatic gall bladder stones and clear common bile duct between April 1999 and July 1999. A primary umbilical [10/11 mm] and subxiphoid [10/11 or 5 or 3 mm] ports were used, the fundal and infundibular grasping ports were replaced by two percutaneous stay sutures. In this modified LC technique, there were full exposure and dissection of the cystic pedicle without increasing the head up and tilt to the left position or the intraperitoneal pressure. All procedures were completed successfully with no need to an additional port[s] or conversion to open cholecystectomy. It was concluded that this modification is feasible, safe and satisfactory and it is suggested as a primary procedure for gall bladder diseases [except malignancy]