 Through this, a Veress needle was inserted followed by size #5 step trocar and this procedure was repeated under direct visualization on the right upper quadrant lateral to the umbilicus and a size #5 trocar was also placed. 
Through this , a Veress needle was inserted followed by size # 5 step trocar and this procedure was repeated under direct visualization on the right upper quadrant lateral to the umbilicus and a size # 5 trocar was also placed .