Tubulation with Intermittant Knotting: A New Method in Gallbladder Retrieval in Laparoscopic Cholecystectomy

The aim in laparoscopic cholecystectomy is to cause minimal postoperative pain in patients by reducing the number and diameter of the trocars used, as well as to minimize the development of scar at the incision site. However, during the retraction of the gallbladder more serious problems may occur. Although several methods are suggested to securely extract the gallbladder, these methods have some limitations. Here, a new technique is presented to facilitate the retrieval of the gallbladder by knotting around it and changing its form from a saccular shape with a wide diameter, to a tubular form with a narrower diameter. This technique was completely sufficient in nine of twelfth patients. Less traction force and maneuver is needed with this technique. Thus risk of complications lowers and duration of gallbladder retrieval shortens.