ABSTRACT
Surgeons performing laparoscopic procedures should know several methods for ligating vessels, reapproximating tissue surfaces, and reconstructing organs. Developing suturing skills is no less important simply because stapling devices and clip appliers are available in the operating room. Sometimes the surgeon may want to tie an extracorporeal knot and advance the knot within the abdominal cavity. After suturing on delicate tissue, most surgeons prefer to instrument-tie intracorporeally.
