Two-Port Laparoscopic Cholecystectomy represents an advanced approach to minimally invasive gallbladder surgery, designed to achieve effective surgical treatment while reducing the number of abdominal access points. In this educational surgical video, Dr. R.K. Mishra demonstrates the principles and operative steps of two-port laparoscopic cholecystectomy along with the application of a Transversus Abdominis Plane (TAP) Block for perioperative pain management.

The procedure highlights important aspects of advanced laparoscopic surgery, including appropriate patient positioning, port placement, creation of pneumoperitoneum, laparoscopic visualization, gallbladder traction, identification of the critical anatomical structures, careful dissection of Calot’s triangle, and safe management of the cystic duct and cystic artery. The two-port technique requires precise instrument handling, effective triangulation, controlled traction and counter-traction, and a thorough understanding of hepatobiliary anatomy.

The video also focuses on the role of the TAP Block as part of multimodal postoperative pain management. By targeting the nerves supplying the anterior abdominal wall, TAP block techniques may contribute to improved postoperative comfort and facilitate early mobilization when appropriately performed as part of an individualized anesthetic plan.

This demonstration is particularly valuable for surgeons and trainees interested in advanced minimal access surgery, reduced-port laparoscopic techniques, surgical ergonomics, and enhanced recovery principles. Dr. R.K. Mishra emphasizes the importance of anatomical orientation, safe dissection, precision, and disciplined laparoscopic technique throughout the procedure.

The surgical demonstration at World Laparoscopy Hospital provides an educational overview of how reduced-port access and regional analgesia can be incorporated into contemporary laparoscopic practice. It is intended for medical education and professional surgical training, with emphasis on operative principles, technical decision-making, and patient safety.