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