Use of fistula director to enlarge the port site opening to retrieve a stone packed bulky gall bladder during laparoscopic cholecystectomy: a simple and safe technique.

Retrieval of the gall bladder through the port site opening is technically difficult and challenging when it is bulky either due to packed multiple calculi or a large solitary calculus. We describe in this article a simple technique that involves enlargement of the port site opening to facilitate the gall bladder removal in these difficult situations, using a scalpel and a fistula grooved director.