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all right this is going to be kind of a schematic approach to trocar placement for the exile robot got your classic bariatric abdomen here for me the first move before I mark or inject local anesthetic is to insulate the abdomen I like to use a varus needle on the left costal margin and I like to insulate because I like to determine whatamp;#39;s going to be the apex of the abdomen and what I mean by the apex of course is with a patient in a supine position view transversely with the abdomen insufflated thereamp;#39;s typically going to be a highest point that some way or above the level of the UM blankaamp;#39;s Iamp;#39;m going to see what this point is because this will help us a lot with trocar placement the X I generally likes to be relatively far away from the action X I arms for very long so thereamp;#39;s not a problem with docHub and yet you donamp;#39;t want to be far below the apex because then you start getting below the action and lose your perspective and so typicall