John Leppert
Publication Details
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Standardized linear port configuration to improve operative ergonomics in laparoscopic renal and adrenal surgery: experience with 1264 cases.
J Endourol. 2011; (11): 1769-73
Traditional laparoscopic port placement for upper urinary tract surgery involves camera access via the umbilicus with working ports placed on either side of the camera at various locations. This diamond configuration requires the camera operator to cross hands with the surgeon, resulting in poor ergonomics. A standardized linear port configuration has been used for nearly all transperitoneal urologic surgery at our institution. The purpose of this article is to describe our experience with this simplified approach and its advantages.

