The trigger is not fired until the exact anatomical position of the trocar tip is known. |
The risks of the procedure include bile duct injuries and trocar injuries to blood vessels and abdominal viscera. |
Another 10 mm trocar for the endoscope will be positioned further up halfway between the umbilicus and the xiphoid process. |
For lesions between 5 and 10 cm, the pneumoperitoneum is created in the left hypochondrium and the trocar inserted in the umbilicus. |
The incision is made in the same place that the trocar is inserted for puncturing that organ in cases of hoven. |
The surgeon deflates the abdomen by turning off the insufflator, opening the trocar ports, and suctioning the abdominal cavity. |