Minimal access surgery (MAS) a new surgical and interventional approach, was called by different name and one of the popular is minimally invasive surgery. However, unique complications are associated with gaining access to the abdomen for laparoscopic surgery. The technique of first entry inside the human body with telescope and instruments is called access technique. The hallmark of the new approaches is the reduction in the trauma of access. The technique for access to the peritoneal cavity, choice of access technique, placement locations, and port placement is very important in MAS. Technique of access is different for different minimal access surgical procedures. Thoracoscopy, retroperitoneoscopy, axilloscopy, and arthroscopy all have different ways of access. In this chapter, we will discuss various abdominal access techniques. It is important to know that approximately 20% of laparoscopic complications are caused at the time of initial access. Developing access s
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