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Related Experiment Video

Updated: Jul 19, 2026

Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
12:27

Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver

Published on: June 16, 2023

Simple and effective suspension technique for laparoscopic cholecystectomy.

Jacob W T Ng1, David P W Cheng

  • 1Department of Surgery, Minimally Invasive Surgery Research Centre, Yan Chai Hospital, Hong Kong, China. houston_n@yahoo.com

ANZ Journal of Surgery
|October 24, 2006
PubMed
Summary

A novel gallbladder suspension technique using a snare loop and intravenous cannula offers an alternative to the lateral retraction port in laparoscopic cholecystectomy. This method enhances ergonomics and safety, particularly for selected patients.

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Area of Science:

  • Minimally Invasive Surgery
  • Surgical Techniques
  • Gastrointestinal Surgery

Background:

  • The standard American four-port technique for laparoscopic cholecystectomy often omits the lateral retraction port.
  • Omitting this port can compromise surgical ergonomics and safety.
  • Scarless suspension techniques have emerged as alternatives to the lateral retraction port.

Purpose of the Study:

  • To review existing gallbladder fundus suspension techniques.
  • To develop an expedient, safe, and cost-effective suspension technique.
  • To maintain the ergonomic and observational advantages of the four-port technique without a lateral port.

Main Methods:

  • A systematic review of published gallbladder fundus suspension techniques was conducted.

Related Experiment Videos

Last Updated: Jul 19, 2026

Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
12:27

Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver

Published on: June 16, 2023

  • A novel technique involves a snare loop created by a folded thread passed through a 14-G intravenous cannula.
  • Anchorage is secured using a two-haemostat technique; the cannula can be repositioned for enhanced liver retraction.

    • Main Results:

    • The described suspension technique effectively entraps and holds the gallbladder fundus.
    • The two-haemostat anchorage method is a novel approach.
    • Repositioning the cannula into the thoracic cage provided cephalad retraction and liver rotation without causing pneumothorax, confirmed by chest radiographs.

    Conclusions:

    • This simple gallbladder suspension technique effectively replicates the ergonomic and exposure benefits of the four-port technique.
    • The method is safe and cost-effective for selected patients undergoing laparoscopic cholecystectomy.
    • Surgeons should exercise due caution when applying this technique, considering patient selection.