What is the trocar placement for laparoscopic left hemicolectomy?

Updated: Apr 13, 2020
  • Author: David B Stewart, Sr, MD, FACS, FASCRS; Chief Editor: Vikram Kate, MBBS, MS, PhD, FRCS, FACS, FACG, FRCS(Edin), FRCS(Glasg), FIMSA, MAMS, MASCRS, FFST(Ed)  more...
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Trocar placement

For multiple-site laparoscopy, the surgeon can limit the number of ports to three. The 12-mm trocar can be used to exteriorize the specimen and to place the anvil for the end-to-end anastomosis (EEA) stapler; however, it is usually easier to create a small, suprapubic incision for these purposes because partially closing an enlarged trocar site never regains the airtight seal initially present upon port placement.

For single-site laparoscopy, which is the author’s preferred approach to laparoscopic colorectal surgery, the trocar is placed through the umbilicus, unless doing so represents a higher chance of requiring a stoma, in which case the trocar is positioned at that location.

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