Skin incision about two or three finger breadths superior to the umbilicus; insert the Verres needle and establish pneumoperitoneum with 13mmHg under pressure control. Insert a 10mm shielded trocar Insert the laparoscope and explore the upper quadrants: There is an inflamed conglomerate mass; at its superior aspect the left hepatic lobe adheres to the diaphragm, while its inferior aspect is caked with the stomach and greater omentum.
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Establishing the pneumoperitoneum, inserting the trocar for laparoscope and exploring the upper quadrants
![Establishing the pneumoperitoneum, inserting the trocar for laparoscope and exploring the upper quadrants]()
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Inserting the working trocars, transecting the round and falciform ligaments of the liver
Under endoscopic view insert a 12mm trocar in the left upper quadrant and a 5mm trocar at the same
Under endoscopic view insert a 12mm trocar in the left upper quadrant and a 5mm trocar at the same
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BiClamp® LAP-Zange
... - Operations in general, visceral and transplant surgery, vascular surgery and thoracic surger
... - Operations in general, visceral and transplant surgery, vascular surgery and thoracic surger
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general and visceral surgery
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