STEP 1Peritoneal access

Access to the abdominal cavity is obtained by making an incision below the umbilicus in the midline and establishing a 15-mmHg pneumoperitoneum; the laparoscope is introduced through a 10-mm port

Further ports include right upper and right mid quadrant 5-mm ports in the mid-clavicular line and a 12-mm port in the left lower mid quadrant.

The abdomen is explored laparoscopically for evidence of metastatic disease on the peritoneal surface or within the liver; the spleen is also examined. The adhesions are divided as needed.

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How to Stay Young

How to Stay Young

For centuries, ever since the legendary Ponce de Leon went searching for the elusive Fountain of Youth, people have been looking for ways to slow down the aging process. Medical science has made great strides in keeping people alive longer by preventing and curing disease, and helping people to live healthier lives. Average life expectancy keeps increasing, and most of us can look forward to the chance to live much longer lives than our ancestors.

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