This manuscript describes a technique of laparoscopic cholecystectomy
which permits the surgeon to use both hands. The technique can be modi
fied to accommodate both right- and left-handed surgeons. Advantages w
e have appreciated in performing over 100 procedures in this manner in
clude a less crowded operating environment, a less costly operating te
am, and a resident assistant closer to the patient with two hands avai
lable so that he or sbe can better develop the co-ordination necessary
to assume increasing responsibility for the procedure.