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Bashir Yunusa et al

























                    Fig. 16: picture of manipulation angle        Fig. 19: Laparoscopic surgical team of the investigator
                                                              the higher it approaches nonreproducibility due to fatigue
                                                              from increased elevation angle and shoulder overstretching.
                                                              This is in keeping with the Baseball Diamond concepts of
                                                              port positioning.


                                                              ConCLUSIon
                                                              There is no ‘ideal port position in urological laparoscopic
                                                              procedures based on anatomical landmarks, but the closer
                                                              the ports’ positions are to make a manipulation angle of 60º
                                                              (Baseball Diamond), the closer to ideal it will be.

                                                              RECoMMEndATIonS

                                                              More work is to be done on the newly emerging laparo s­
                          Fig. 17: ports’ positions             copic urology particularly in the developing world.


                                                              REFEREnCES
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                                                                3.  Greberg CF, Gettman MT. Instrumentation for natural orifice
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          Fig. 18: manipulation angle at the hilum (crucial target of dissection)  Delhi, Gurgaon, 122 002, India. Port position in Laparoscopy.
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          of all laparoscopic tasks were shorter with 60º manipula­    8.  McDougall EM, Finley D, Clayman RV, et al. Basic urologic
          tion and all were reproducible irrespective of the difficulty   laparoscopy: a standardized guideline for training programs. Am
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