The operation begins with placement of the umbilical camera port and a thorough inspection of the abdomen.The surface of both lobes of the liver are inspected carefully and then attention is turned tothe pelvis for a thorough visual inspection. Next, the other ports are placed under direct vision. The location and number of ports is based on the location of the tumor and personal preferences of surgeon. Here,pelvic working ports are placed. The sigmoid colon is then elevated with graspers and brought gently out of the pelvis. Atraumatic graspers are used to carefully elevate the sigmoid col