The patient is placed supine in the modified lithotomy position using stirrups. Surgery is begun in Trendelenburg position (20°head-down tilt), and after cannula insertion, the patient is tilted right side down. For the entire laparoscopic operation, the surgeon and second assistant (who acts as the camera holder) stand on the patient's right side looking at a monitor placed near the patient's left knee with the first assistant stand-
ing to the patient's left side looking at a monitor placed near the right knee (Figure 8.6.1). Alternatively, the first assistant may stand between the legs for the dissection of the inferior mesenteric artery (IMA) pedicle. The nurse may stand between the legs or just below and to the left of the left knee, with his operating table located to his left, depending on the position of the first assistant.
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