Ambidextrous needle driving and knot tying helps perform secure laparoscopic hepaticojejunostomy of choledochal cyst (with video)

  • Satoshi Ieiri
    Department of Pediatric Surgery Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly Kagoshima University Kagoshima Japan
  • Yoshinori Koga
    Division of Pediatric Surgery Department of Surgery Faculty of Medical Sciences Kurume University Kurume Japan
  • Shun Onishi
    Department of Pediatric Surgery Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly Kagoshima University Kagoshima Japan
  • Masakazu Murakami
    Department of Pediatric Surgery Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly Kagoshima University Kagoshima Japan
  • Keisuke Yano
    Department of Pediatric Surgery Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly Kagoshima University Kagoshima Japan
  • Toshio Harumatsu
    Department of Pediatric Surgery Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly Kagoshima University Kagoshima Japan
  • Koji Yamada
    Department of Pediatric Surgery Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly Kagoshima University Kagoshima Japan
  • Mitsuru Muto
    Department of Pediatric Surgery Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly Kagoshima University Kagoshima Japan
  • Makoto Hayashida
    Department of Pediatric Surgery Fukuoka Children’s Hospital Fukuoka Japan
  • Tatsuru Kaji
    Department of Pediatric Surgery Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly Kagoshima University Kagoshima Japan

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説明

Ieiri and colleagues report an ingenious technique for performing ambidextrous suturing in laparoscopic hepaticojejunostomy for cases with small hepatic ducts. Surgeons who devote professional attention to minimally invasive surgery should take care to practice extensively with their non-dominant as well as dominant hand to improve the quality of laparoscopic surgery.

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