Is There an Ideal Port Position for Laparoscopic Urological Procedures?

Abstract

Background: Reports have suggested increased use of laparoscopy in the treatment of urological diseases and equally wrong port positions as the commonest cause of struggling during surgeries and increased in complications and operative time. Aim: We aimed to find out the ideal positions for laparoscopic ports to be placed during urological procedures. Methods: We performed different laparoscopic tasks in both the upper and lower urinary tract regions, at different ports position making different manipulation angles and operative time recorded. The procedures were performed on both dry and wet laboratory and on human during laparoscopic donor nephrectomies. Results: The average operative time of those ports whose position approximate to manipulation angle of 60º was shorter and more comfortable to the surgeons. Conclusion: There is no ideal positions for port placement in urological procedures based on anatomical landmarks, but rather any position that approximate its manipulation angle to as close to 60º as possible.