Ojigi tying spatula: a newly developed movable spatula for laparoscopic ligation.

We developed a new type of movable tying spatula for ligation of the cystic duct and artery in laparoscopic cholecystectomy. This spatula can be used to ligate any vascular or ductal structure before laparoscopic resection. This instrument should give strong support to surgeons performing laparoscopic procedures and eventually will replace the expensive clips and Endoloops.