Considerations for Port Placement by Procedure, Incision Techniques, and Specimen Extraction

  • Deborah S. KellerEmail author


Here we present technical considerations for incisions and port placement for various procedures. In addition to considering the positioning and incision, the editors want the surgeon to consider the 1–2–3 concept of SILS for the camera (1), grasper (2), and instruments (3). With this, visualization with the camera is the most important concept; the camera should be introduced, focused on the pathology, and not be moved. Then, the grasper should be positioned for optimal retraction and not moved while maintaining appropriate counter traction. Finally, the instrument is introduced, which should be constantly moving to progress while the grasper and camera are held still.

Supplementary material

Video 4.1

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Video 4.2

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Video 4.5

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Division of Colorectal Surgery, Department of SurgeryBaylor University Medical CenterDallasUSA

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