two surgports technique for the easy laparoscopic cholecystectomy, the application of the trans-parietal proline suture technique [TPPS]

ABSTRACT

48 cases were studied fulfilling the following criteria Collapsible fundus when elevated, no omental adhesions, evident structures in the hepatoduodenal ligament. The technique is only using the xiphisternal and mid clavicular trocars. The technique enabled successfully to remove the GB without the need for additional trocars. No encroachment upon the exposure, the safety of the technique, biliary duct injury, leaking or bleeding episodes occurred in this series. The described technique proved to be an efficient alternative to the three ports technique. A further development of the use of TPPS would be the production of a detachable jaw part of an instrument which can be applied to different parts of any organs and to apply many TPPS in different directions to this instrument will definitely contribute to achieve a less invasive technique and help laparoscopic maneuvers