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. 2019 Jun 27;33(10):3069–3139. doi: 10.1007/s00464-019-06907-7
Level 2 There is no difference in major complication rates with direct trocar insertion without pneumoperitoneum compared with pneumoperitoneum with a Veress needle prior to initial trocar insertion
Level 2 Pneumoperitoneum creation with a Veress needle followed by entrance into the abdomen with an optical trocar is the method most frequently used
Level 4 The most safe place for insertion of the first trocar seems to be in the left (Palmer’s point) (or right) upper quadrant subcostally in the midclavicular line for midabdominal and lower abdominal hernias