STEP 1Access and insertion of trocars

The patient is positioned in a 45-degree right lateral position. The surgeon and the camera assistant stand at the patient's abdominal side, video-monitor on the opposite site. The first trocar (umbilical, 12mm) is inserted in an open technique (T1) and the pneumoperitoneum (14mmHg) is introduced.

Further trocars are inserted under visual control in the left lower abdomen (T2,10mm) and in the left midaxillary line just below the costal margin (T3,10mm). If needed, additional trocars are placed semicircularly in relation to the spleen (dotted line).

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How to Stay Young

How to Stay Young

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