**6. Conclusions**

In conclusion, the goal of minimal invasive surgery might be TLPD; however, there are several problems, for example, safety, complications, medical cost, and learning cost. Our PD by Shuriken‐shaped umbilicoplasty with the real‐time moving window's method might be a useful way for overcoming the above obstacles. Also, our new device of PJ reconstruction by PSSGM might be an easy and a useful device for preventing PL.
