A small skin incision is made at the lower edge of the left costal arch near the xiphoid. Through this, the Veress needle is introduced, and the pneumoperitoneum is established. The pressure plateau is limited to 12mmHg.
Alternatively, the Veress needle can be introduced through an approximately 1 cm long periumbilical skin incision, and the pneumoperitoneum established through this, or the primary trocar access with the establishment of the pneumoperitoneum in an open technique can be chosen.
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Creation of the capnoperitoneum
![Creation of the capnoperitoneum]()
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Trocar positioning
The channel for the optical trocar (10 mm) is bluntly pre-prepared with closed scissors after a sma
The channel for the optical trocar (10 mm) is bluntly pre-prepared with closed scissors after a sma
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