Transumbilical laparoscopic cholecystectomy utilizes no incisions outside the umbilicus

Laparoscopic cholecystectomy has become the gold standard in the care of pa tients with cholelithiasis, A standard laparoscopic cholecystectomy employs three trocar incisions outside the umbilicus, which are a source of potent ial wound complications and an undesirable cosmetic outcome. We describe he re a modification of the laparoscopic cholecystectomy which utilizes two tr ansumbilical trocars and two transabdominal gallbladder stay sutures and do es not require abdominal wall incisions outside the umbilicus. When technic ally feasible, this technique results in superior cosmesis and may reduce p ostoperative wound complications.