Laparoscopic Excision of Large Intra-Abdominal Cysts in Children: Needle Hitch Technique

Figure 3

Diagrammatic depiction of the needle hitch technique. (a) Cyst aspirated via a direct percutaneous puncture using a spinal needle. (b) Under direct laparoscopic view, the needle is advanced through the anterior surface of the cyst wall and secured at the exit site through the skin with an artery clip. (c) The hitching technique maintains traction on the cyst wall and facilitates its dissection using instruments through the two working ports.

(a)

(b)

(c)