New Suggestion for Port insertion during Laparoscopy for Penetrating Thoracoabdominal Injuries

Penetrating trauma to thoracoabdominal area can cause diaphragmatic injury. Diagnostic Laparoscopy is an acceptable method for evaluating the diaphragmatic injuries. Due to insertion sites of ports in classic diagnostic laparoscopy, evaluation of diaphragm behind liver and spleen needs more experience. In patients with suspicious to diaphragmatic injury and according to available facilities in our centers, we suggest that in unilateral injuries instead of contralateral midclavicular 5mm port, insert a 5mm port in subxyphoid area. In bilateral injuries, if enough exposure doesn’t achieve, we can add a 5mm port in subxiphoid area. In bilateral injuries, if enough exposure doesn’t achieve, we can add a 5mm port in subxiphoid area. In absence of 30 degrees cameras, use of 10mm port in subxiphoid can give surgeons better exposure of diaphragm with zero-degree cameras.