Video of Laparoscopic Port Position Technique: The Key to Safe and Ergonomic Minimal Access Surgery
In this video, we will discuss that One of the most crucial steps in performing a successful laparoscopic surgery is achieving proper port positioning. In this educational video titled "Laparoscopic Port Position Technique: The Key to Safe and Ergonomic Minimal Access Surgery," we explore the principles, techniques, and clinical logic behind strategic trocar placement. This video is an essential guide for surgeons and surgical trainees seeking to enhance safety, precision, and operative ergonomics in laparoscopic procedures.
Why Port Positioning Matters
The placement of laparoscopic ports determines:
The angle of approach to the target organ
The working range and movement of instruments
The quality of visualization via the laparoscope
The surgeon’s posture and comfort throughout the procedure
Incorrect port positioning can lead to instrument crowding, limited access, surgeon fatigue, and increased complication risk—making this step a critical determinant of surgical efficiency and patient safety.
Key Concepts Covered in the Video
Principles of Triangulation
The working ports should form a triangle with the target anatomy at the center, allowing for optimal movement and precision during dissection, suturing, and retraction.
Camera Port (Optical Port) Placement
Usually placed at the umbilicus or supraumbilical line depending on the procedure. It offers a panoramic view and acts as the central axis for instrument movement.
Working Port Placement
Two or more ports are placed laterally and symmetrically, maintaining proper distance (typically 8–10 cm apart) for effective instrument handling without collision.
Patient Factors
The surgeon must consider BMI, previous surgeries, abdominal wall contour, and pathology location while planning port sites.
Procedure-Specific Port Strategies
TLH (Total Laparoscopic Hysterectomy): Supraumbilical camera port, with three ipsilateral working ports.
Cholecystectomy: Umbilical camera, subxiphoid working port, and right midclavicular/subcostal ports.
Appendectomy: Umbilical optical port, left lower quadrant working port, and suprapubic or right iliac fossa port.
TAPP Hernia Repair: Umbilical optical port with bilateral lateral ports in line with the internal ring.
Ergonomic Alignment
The video emphasizes the importance of aligning the monitor, patient, and surgeon in one straight line and keeping instruments at neutral angles to reduce musculoskeletal stress.
Port Insertion Techniques
Demonstration of safe entry techniques including Veress needle insertion, open (Hasson) technique, and optical trocars under vision.
Clinical Benefits of Correct Port Positioning
Minimized instrument collision
Improved surgical field access
Shortened operative time
Decreased surgeon fatigue
Better outcomes and fewer complications
Conclusion
The Laparoscopic Port Position Technique is more than a technical step—it is a strategic decision that sets the stage for the entire surgery. This video equips viewers with the knowledge to make informed port placement choices tailored to each procedure, enhancing safety, control, and operative comfort in every case.
Watch the full video to learn how to plan and execute optimal port placement across various laparoscopic surgeries. Don’t forget to like, comment, and subscribe for more surgical education from World Laparoscopy Hospital.
Why Port Positioning Matters
The placement of laparoscopic ports determines:
The angle of approach to the target organ
The working range and movement of instruments
The quality of visualization via the laparoscope
The surgeon’s posture and comfort throughout the procedure
Incorrect port positioning can lead to instrument crowding, limited access, surgeon fatigue, and increased complication risk—making this step a critical determinant of surgical efficiency and patient safety.
Key Concepts Covered in the Video
Principles of Triangulation
The working ports should form a triangle with the target anatomy at the center, allowing for optimal movement and precision during dissection, suturing, and retraction.
Camera Port (Optical Port) Placement
Usually placed at the umbilicus or supraumbilical line depending on the procedure. It offers a panoramic view and acts as the central axis for instrument movement.
Working Port Placement
Two or more ports are placed laterally and symmetrically, maintaining proper distance (typically 8–10 cm apart) for effective instrument handling without collision.
Patient Factors
The surgeon must consider BMI, previous surgeries, abdominal wall contour, and pathology location while planning port sites.
Procedure-Specific Port Strategies
TLH (Total Laparoscopic Hysterectomy): Supraumbilical camera port, with three ipsilateral working ports.
Cholecystectomy: Umbilical camera, subxiphoid working port, and right midclavicular/subcostal ports.
Appendectomy: Umbilical optical port, left lower quadrant working port, and suprapubic or right iliac fossa port.
TAPP Hernia Repair: Umbilical optical port with bilateral lateral ports in line with the internal ring.
Ergonomic Alignment
The video emphasizes the importance of aligning the monitor, patient, and surgeon in one straight line and keeping instruments at neutral angles to reduce musculoskeletal stress.
Port Insertion Techniques
Demonstration of safe entry techniques including Veress needle insertion, open (Hasson) technique, and optical trocars under vision.
Clinical Benefits of Correct Port Positioning
Minimized instrument collision
Improved surgical field access
Shortened operative time
Decreased surgeon fatigue
Better outcomes and fewer complications
Conclusion
The Laparoscopic Port Position Technique is more than a technical step—it is a strategic decision that sets the stage for the entire surgery. This video equips viewers with the knowledge to make informed port placement choices tailored to each procedure, enhancing safety, control, and operative comfort in every case.
Watch the full video to learn how to plan and execute optimal port placement across various laparoscopic surgeries. Don’t forget to like, comment, and subscribe for more surgical education from World Laparoscopy Hospital.
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