STEP 1Positioning

The patient is placed supine. The senior surgeon stands on the patient's right side and the first assistant on the left. Pneumoperitoneum is established with the Verres needle (by insufflating at a preset pressure of 12-15mmHg), the 0° or 30° laparoscope is introduced through a supraumbilical 10-mm port, but it can be moved to other ports as needed intraoperatively. Then, two 10-mm trocars and one 12-mm trocar are inserted in the anterior abdominal wall. The table is tilted at a 30° Trendelenburg position and a Babcock forcep (more atraumatic) is used to bring the omentum and transverse colon cephalad to identify the ligament of Treitz.

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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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