■ Be patient and move slowly. Metastases are often small and may be missed with a cursory examination.
■ Maintain hemostasis; blood absorbs light and obscures the anatomy.
■ A single port examination is inadequate. Multiple ports are required for the appropriate exposure to be obtained.
■ Mobilization of the duodenum is not required.
■ Place the 10-mm port as lateral as possible in the right upper quadrant. This will allow the ultrasound probe to be placed directly at right angles over the hepatoduodenal ligament, making identification of the bile duct/vessels easier.
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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.