In this video, we will disscuss that In this video, we present a step-by-step demonstration of a two-port laparoscopic cholecystectomy utilizing the Mini Alligator instrument, highlighting the evolution of minimally invasive surgical techniques in gallbladder removal.
 
Traditionally performed using four trocars, laparoscopic cholecystectomy has evolved considerably over the past decades. With the advent of improved instrumentation and refined surgical skills, reduced-port approaches—such as two-port and single-incision surgeries—have become increasingly feasible, with added benefits of reduced post-operative pain, minimal scarring, and faster recovery.
 
 Key Features of the Procedure:
 
- Reduced Port Access: In this demonstration, the surgery is conducted using only two ports—a 10mm umbilical port for the laparoscope and a 5mm working port in the epigastric region.
 
- Mini Alligator Instrument: A standout tool in this approach, the Mini Alligator instrument is inserted percutaneously without the need for an additional trocar. Its unique jaw design allows for precise traction and dissection, replicating the functionality of a traditional grasper while minimizing tissue trauma.
 
- Optimized Visualization: Using a 30-degree laparoscope, the surgeon maintains excellent visualization of Calot’s triangle, facilitating safe dissection and identification of the cystic duct and artery.
 
- Critical View of Safety: As always, the dissection adheres strictly to the critical view of safety (CVS) protocol before clipping and dividing the cystic structures—ensuring procedural safety.
 
- Gallbladder Removal: Once detached, the gallbladder is extracted through the umbilical port using an endobag, leaving minimal post-operative scarring.
 
 Advantages of This Technique:
 
- Fewer incisions, leading to less postoperative pain
- Faster patient recovery and improved cosmetic outcomes
- Reduced need for analgesia
- Minimal risk of port-site hernia
 
 Who Can Benefit from This Approach?
 
This technique is most suitable for uncomplicated cholelithiasis, elective cases, and patients with low BMI. Careful patient selection is critical, and the procedure should be performed by surgeons experienced in advanced laparoscopic techniques.
 
Watch the full video to see how the Mini Alligator instrument enhances dexterity and control, making two-port laparoscopic cholecystectomy a viable, efficient, and patient-friendly option in modern minimally invasive surgery.
 
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