The surgeon deflates the abdomen by turning off the insufflator, opening the trocar ports, and suctioning the abdominal cavity. |
For lesions measuring less than 5 cm, the pneumoperitoneum needle and the optics trocar are inserted in the umbilicus. |
If puncture with the trocar or aspiration be practised, shall all the fluid be withdrawn at once? |
The volume of gas insufflated does not represent a decision step for the introduction of the trocar. |
Trocar complications have been reported, most commonly abdominal wall vessel injury and intestinal herniation through large trocar sites. |
For lesions between 5 and 10 cm, the pneumoperitoneum is created in the left hypochondrium and the trocar inserted in the umbilicus. |