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SURGICAL TECHNOLOGY
the way of length extending past the fascia. This allows their rigid,
bent instruments access to and movement in the peritoneal cavity,
which a longer trocar would restrict.
On the other hand, straight instruments with articulation at the end
tend to be required for the suturing involved in Nissen fundoplication,
and a 4-trocar port that transverses the abdominal wall is more useful
in preventing instruments from interfering with each other. Also, for
cases in which specimen extraction is not necessary, there's less of a
need for the wound protective sleeve.
Multi-port matters aside, Dr. Ross recommends surgeons opt for
bariatric-sized instruments in single-incision cases, no matter what
size their patients are, as they offer your hands some working distance. "In single-incision, you don't want to be working too close to
