Trocar placements for distal pancreatectomy. These sites are proper for both splenic salvage and with splenectomy. There should be at least a hand’s breadth distance between trocars 1, 3, and 4. The trocar for the laparoscope should be above the umbilicus
Placement of 10- to 12-mm trocars for laparoscopic assisted left colon resection. Two optional trocar sites (right upper quadrant and left lower quadrant) are occasionally helpful: , typical trocars; ¥, optional trocars.
Positions of the 10- to 12-mm trocars for ileocolic resection and right hemicolectomy. The small midline incision is made as an extension of a trocar site and is used for exteriorization of the specimen and extracorporeal resection and anastomosis: , typ
Laparoscopic colostomy. A. The preselected colostomy site has been prepared by excising a disk of skin and subcutaneous tissue down to fascia. Fascia is left intact to prevent loss of pneumoperitoneum. A trocar is placed through the center of the ostomy s
Trocar placement for colostomy. The laparoscope should be placed through trocar #1 and the site for trocar #2 inspected for suitability prior to port insertion. The other trocar sites should be used as needed to facilitate exposure and mobilization. If a
Trocar placement for laparoscopic appendectomy. The laparoscope is inserted through an umbilical port. A second trocar (5 or 10 mm) is placed in the suprapubic region and used to elevate the appendix. The third trocar is the working port and should be pla
Suggested trocar placement for resection of distal small bowel lesions. For a more proximal lesion, move the left lower quadrant trocar to the left upper quadrant. Trocars 4 and 5 are per the surgeon’s preference.
A. Correct placement of trocar in morbidly obese patients. B. Incorrect placement of trocar.
Trocar sites for endoluminal gastric surgery. The laparoscope is first placed through an umbilical port and initial inspection of the peritoneal cavity performed. The two additional left upper quadrant trocars are placed under direct vision and an operati
Trocar placement. The supraumbilical trocar and the right subcostal trocar are placed 15 cm from the xiphoid, the left subcostal trocar about 10 cm from the xiphoid. The epigastric trocar is placed as high as the liver edge allows and as lateral as the fa