 At this time, under transillumination in the left anterior axillary line, a second incision was made with a scalpel and through this site a #12 mm step trocar was inserted under direct visualization by the laparoscope. 
At this time , under transillumination in the left anterior axillary line , a second incision was made with a scalpel and through this site a # 12 mm step trocar was inserted under direct visualization by the laparoscope .