Open-jaw technique in laparoscopic knot tying

In laparoscopic surgery, intracorporeal suturing is one of the most important and difficult techniques. Each laparoscopic surgeon trains alone to improve their techniques of suturing. However, for most average surgeons the technique of tying a knot is still a difficult procedure in laparoscopic suturing. In laparoscopic esophageal surgery such as a Nissen fundoplication, Heller–Dor operation, it is necessary to perform intracorporeal suturing. This technique, which is called the open-jaw method, is very useful for average laparoscopic surgeons and it may already be used by some surgeons. However, it is still not widely known. This simple and useful technique of intracorporeal knot tying is demonstrated in this report.