Trocar placement for TAPP.
Trocar placement for transabdominal right adrenalectomy. Four 10-mm working trocars are used; if a vascular stapler is needed, one of these can be changed to a 12-mm port.
Placement of trocars in laparoscopic transabdominal left adrenalectomy. Three 10-mm trocars are usually placed initially; if a vascular stapler is needed, the middle trocar can be changed to a 12-mm port.
Patient positioning and trocar placement for purely laparoscopic right LLDN.
Trocar placement for preperitoneal node biopsy.
Trocar placement for transperitoneal iliac node dissection.
Trocar placement for retroperitoneal aortic node dissection.
Trocar placement for upper abdominal dissection.
Trocar placement for gastrojejunostomy is slightly different, in that trocar 2 is placed lower, to allow adequate working distance from the stomach. If you plan to do both procedures, use this trocar arrangement (rather than that in Fig. 36.1).
Trocar placement for cholecystojejunostomy. If you plan to do a gastrojejunostomy as well, modify the trocar placement as shown later (Fig. 36.4). In each case, trocar placement must be individualized. A standard umbilical or subumbilical location for tro