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Excerpt from Prof. Weiner's book: Laparoscopic Roux-en-Y gastric bypass for morbid obesity

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Figure 3a:
Patient positioning and working positions of the surgery team in the laparoscopic gastric bypass operation.

Figure 3b:
1) The rigid HOPKINS^® rod-lens telescope (available in different directions of view) is coupled to the endoscopic camera system.
2) Right upper quadrant port for retracting the left lobe of the liver with the liver retractor.
3) Epigastrium above the left hepatic lobe in the direction of the right coastal arch (port for operating instruments).
4) Similar to position 3, except that it points towards the left coastal arch and maintains a minimum distance of at least 10cm (port for operating instruments).
5) Below the coastal arch (port for operating instruments, e.g. a Babcock grasper for holding the stomach).

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Copyright 2005 Professor Rudolf Weiner, MD
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