Then, using a Veress needle through the umbilicus, we were able to insufflate the abdomen. All 4 quadrants were equally distended. Then, using a 10 Visiport, we were able to gain access to the intraperitoneal cavity under direct vision. Then, a 10 screw was placed near the umbilicus. Then, an additional 10/12 port was placed in the upper abdomen under direct vision. These were then secured to the abdomen using a suture. At this point, careful search of the abdomen demonstrated no obvious intraabdominal pathology. However, there was dense adhesions, which were taken down sharply. These were likely secondary to her laparoscopic cholecystectomy. At this point, we were able to reflect the left colon. The left kidney was visualized. The lower pole of the kidney was identified and defatted using electrocautery. At this point we were able to see the kidney and 3 biopsies were obtained using a biopsy instrument. These were then sent to Pathology for permanent analysis. We had the pathologist come into the room and they identified this as sufficient tissue for appropriate analysis. Then, the kidney was fulgurated using an argon beam.