Fig. 33.1 Longitudinal incision through the umbilicus after lifting its center with towel clips Access remains controversial. Some surgeons place many trocars through different fascial incisions (while using a single…
Fig. 18.1 Patient positioning Fig. 18.2 Operation room set-up 18.3.2 Access Device A 3.5-cm incision is made at the umbilicus. We prefer use of the Lap-protector FF1010™ and the EZ…
Fig. 20.1 Patient and team positioning 20.2.2 Beginning of RPLS The umbilicus is incised (Fig. 20.2), and the fascia opened until to reach the peritoneum, which is opened as well….
Fig. 37.1 No visible scar Fig. 37.2 Eversion of the umbilicus Fig. 37.3 Port in place Surgical Procedure The first step of MGB is the creation of the gastric pouch…
Fig. 15.1 The internal magnetic grasper (IMANLAP Ltd) can be (a) disposable or (b) reusable and is composed of a spring-loaded alligator clamp linked to an (c) 11.83-mm neodynium magnet….
Fig. 26.1 Patient and team positioning 26.2.2 RPLS A 3.5 cm transverse skin incision is made in the midline, 1 cm above the pubic symphysis (Fig. 26.2). The underlying fascia…
Fig. 36.1 LAGB with PSG. The band is placed around the upper part of the stomach to form a small gastric pouch. The fundus of the stomach is plicated to…
Fig. 7.1 Vector of forceps movement in laparoscopic cholecystectomy. In RPLS, the forceps are in coaxial becomes with the scope. (CLS conventional laparoscopic surgery, RPLS reduced port laparoscopic surgery) When…
Fig. 21.1 Indications for SPAS hepatectomy. A good indication for SPAS hepatectomy is a tumor located in the anterolateral segment of the liver. In addition, the resected specimen should not…
Fig. 9.1 (a) 5-mm low profile trocars (Karl Storz-Endoscope). The use of low profile trocars enables improved avoidance of instrument collision and better maneuverability. (b) Three low profile trocars inserted…
