Trocar placement for cholecystojejunostomy. If you plan to do a gastrojejunostomy as well, modify the trocar placement as shown later (Fig. 36.4). In each case, trocar placement must be individualized. A standard umbilical or subumbilical location for tro
Extracorporeal knot. Bring a long suture into the laparoscopic field, leaving its tail outside the port. Place the stitch; then bring the needle end out through the same port. Create a Roeder knot by tying an overhand knot and then wrapping the suture tai
Equipment and Instrumentation
Pushing the needle head-on against tissue resistance.