Abstract
Laparoscopic cholecystectomy using abdominal wall traction with a winch retractor instead of a pneumoperitoneum in pediatric patients is reported. Lifting the abdominal wall by the falciform ligament is useful for laparoscopic procedures, especially in small children. Because of the elasticity of the abdominal wall in children, traction on the right upper quadrant alone allows sufficient access to perform a cholecystectomy without maintenance of a pneumoperitoneum.
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