Two-Port Laparoscopic Cholecystectomy Using Mini Alligator Instrument
Two-port laparoscopic cholecystectomy is an advanced, minimally invasive technique for gallbladder removal, designed to reduce postoperative pain, improve cosmetic outcomes, and minimize surgical trauma. Unlike the conventional four-port technique, this method uses only two access points, making the procedure less invasive.
A key innovation in this approach is the use of the Mini Alligator Instrument, a specially designed laparoscopic tool with an elongated, flexible jaw resembling an alligator's mouth. This instrument offers excellent grip, precision, and maneuverability within the confined space of the abdominal cavity, which is especially useful when working with limited ports.
Procedure Overview:
A 10 mm umbilical port is created for the laparoscope. A second 5 mm port is placed in the epigastric or subcostal region. The Mini Alligator Instrument is introduced through one of these ports to assist in gallbladder retraction, dissection, and exposure of the critical view of safety. The cystic duct and artery are clipped and divided, and the gallbladder is removed, often via the umbilical port.
Advantages of Two-Port Technique with Mini Alligator:
✅ Reduced number of incisions compared to traditional laparoscopic surgery.
✅ Improved cosmetic results with fewer visible scars.
✅ Less postoperative pain and faster recovery.
✅ The Mini Alligator Instrument allows effective tissue manipulation despite fewer access points.
✅ Enhanced patient satisfaction and shorter hospital stays.
Conclusion:
Two-port laparoscopic cholecystectomy with the Mini Alligator Instrument reflects the continuous evolution of minimally invasive surgery. While this technique demands advanced laparoscopic skills, when performed by experienced surgeons, it provides a safe, effective, and cosmetically superior alternative to conventional cholecystectomy.
