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Laparoscopic suture and knot techniques aren't yet considered standard laparoscopic procedures.
In conventional surgery, it would be unthinkable that a procedure would be attempted with no good working knowledge of suture and knot techniques.
In laparoscopic operations, limited mobility, the lever arm with the instruments and particularly the conversion of 2D vision to 3D actions and also the lack of a direct tactile sense all have limiting effect. The needle holders available leave room for improvement.
The initially protracted operating times become shorter with training and a period of adjustment.