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Updated: Aug 10, 2026
Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
Published on: June 16, 2023
Two-port laparoscopic cholecystectomy: initial results of a modified technique
Chi-Ming Poon1, Kin-Wing Chan, Chi-Wah Ko
1Department of Surgery, North District Hospital, Sheung Shui, NT, HKSAR, China.
Background And Purpose:
Two-port laparoscopic cholecystectomy has been reported to be safe and feasible with a higher patient satisfaction score. However, it was technically difficult even in expert hands because of the small operating field. We have modified the operating telescope to achieve a wide field of view.
Patients And Methods:
Since September 2000, 14 patients have been enrolled for two-port laparoscopic cholecystectomy. The male to female ratio was 5:9. The median age was 54.5 years (interquartile range [IQR] 45-67.75 years).
Results:
The median operative time was 53 minutes (IQR 38-61 minutes). Two patients required one additional 5-mm port or a traction suture because of dense adhesions. There was no conversion to open surgery. The median postoperative hospital stay was 2 days (IQR 1-2.25 days). The median oral postoperative analgesia requirement was 1 dose (IQR 0-3 doses). There were no major or minor complications, and there were no deaths.
Conclusion:
The modified two-port technique greatly facilitates two-port laparoscopic cholecystectomy and improves the clinical outcome.
