Standard port layout. Supine with 10-12 degrees reverse-T, arms out. Left side up if needed for body habitus or far-distal lesions. Entry typically infra-umbilical at assistant site.
Ports either in straight line across horizon (when body/proximal tumors and celiac dissection required) or with slight angle towards LUQ for distal lesions. Arm 4 (Prograsp) as far lateral as possible and inferior to greater curve of stomach/inferior pole of spleen. Arm 1 (bipolar) in line or slightly above plane of Arm 1. Camera and scissors/Vessel Sealer/Stapler split difference between 1 and 4. Extraction site infra-umbilical.
Jesse Sulzer MD PhD 