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