Trocar placements for distal pancreatectomy. These sites are proper for both splenic salvage and with splenectomy. There should be at least a hand’s breadth distance between trocars 1, 3, and 4. The trocar for the laparoscope should be above the umbilicus
If you have used this image in a publication or presentation please email MEDIA@SAGES.org and let us know how it worked out.