Abstract
Background and Study Aims: Conventional laparoscopic cholecystectomy requires four ports. The present study
describes a new laparoscopic cholecystectomy technique using two ports only.
Patients and Methods: Sixty-two consecutive patients with symptomatic gallstones underwent laparoscopic
cholecystectomy using this two-port technique. The operation requires a straightforward
laparoscope and a percutaneous sling to retract the gallbladder laterally and cephalad.
Results: The two-port method was successful in 52 patients; eight required an additional port,
and two required conversion to open surgery. Our results showed that the operating
time and complication rate were comparable to those in other series using the conventional
laparoscopic method.
Conclusion: The two-port method is technically more demanding, and should only be used to remove
simple, uncomplicated gallbladders. The surgeon should always be prepared to insert
more trocars or convert to open procedures when necessary.
