Theory and geometry of the laparoscopic stitch

Port placement and ergonomic considereations for Laparoscopic suturing

Effective and safe laparoscopic tissue handling

Interrupted and continuous suturing techniques

Needle handling and bite placement with both curved and endostitch needles

Intracoporeal surgeon’s knot and square knot

Extra corporeal knotting techniques

Gastrojejunostomy

Jejunojejunostomy

Choledochojejunostomy

Pancreaticojejunostomy

Pyloroplasty

Ureteroureterostomy

Urethrovesical anastomosis

Warm up(5 minutes)

Picking up of needle(10 minutes)

Press-down technique

Lift string technique

Pronation technique

Adjustment of needle angles(5 minutes)

Driving through the needles(10 minutes)

Pull the needle(5 minute)

Knot tying(10 minutes)

Near short end

Make long end parallel to needle holder

Right hand only rotation

Proper tightening of knot

Continuous knot formation

Slip knot(10 minutes)

Extracorporeal suture(5 minites)

Continuous suture(30 minutes)

Left hand suture(10 minutes)

Extreme wheel suture(30 minutes)

Gastrojejunostomy(30 minutes)

Jejunojejunostomy(30 minutes)

Laparoscopic stapling(GIA, EEA)

T-tube placement and suturing of CBD(30 minutes)

Choledochojejunostomy(45 minutes)

Pancreaticojejunostomy(45 minutes)