Left upper quadrant cannula insertion.

Objective: To determine the safety and efficacy of primary left upper quadrant laparoscopic cannula insertion.
Design: Retrospective review.
Setting: Tertiary care medical center.
Patient(s): Women undergoing laparoscopic surgery for gynecologic indications.
Intervention(s): Left upper quadrant cannula insertion.
Main Outcome Measure(s): Intraoperative complications.
Result(s): Primary left upper quadrant cannula insertion was performed 58 times. There were no intraoperative complications. In one woman there was more pain at the LUQ site than at her other incisions. In 12 women (21%) adhesiolysis was performed before insertion of the umbilical cannula.
Conclusion(s): Primary left upper quadrant cannula insertion is a safe and effective alternative to primary umbilical cannula insertion.