Sites for Trocar Placement

Procedure-specific trocar placement is described in detail with each individual operative procedure. However, certain general principles govern correct trocar placement. The camera port ideally should be in line with and at a 45° angle to the principal structure of interest (e.g., renal hilum during laparoscopic nephrectomy). The right- and left-hand working ports should be on either side of and at an adequate distance from the primary camera port creating a triangulation. Proper trocar arrangement is ideal for creating optimal orientation and angles of the rigid laparoscopic instruments.

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