Abdominal Key

Fig. 4.1 Complete removal of lymphatic and adipose tissue of the proximal portion of the lesser curvature up to the right wall of the cardia exposes the medial wall of…

Fig. 6.1 The abdomen is entered via a midline xipho-umbilical incision Fig. 6.2 After separation of the greater omentum, a Kocher maneuver is performed to ensure a better mobilization of…

Figs. 2.1, 2.2, and 2.3 After having disinfected the operating field by passing in succession two gauze pads soaked in povidone-iodine (or benzalkonium chloride if the patient is allergic to…

Fig. 7.1 The patient lies in an articulated table and in the Lloyd-Davies position with the left arm abducted and 20° head-up tilt (reverse Trendelenburg position). A vesical catheter and…

Figs. 3.1 and 3.2 The inferior (pars flaccida) and superior (pars condensa) portions of the lesser omentum are resected close to the liver, so that they can be removed en…

Fig. 8.1 Regional lymphatic stations of the stomach according to the Japanese Gastric Cancer Association Table 8.1 Regional gastric lymph nodes No. 1 Right paracardial LN No. 2 Left paracardial…

Fig. 5.1 Subtotal gastrectomy is selected when a satisfactory proximal resection margin can be obtained. There are several techniques to perform a stapled subtotal gastrectomy: total or partial inferior anastomosis,…

Figs. 9.1, 9.2, and 9.3 A locally advanced gastric tumor infiltrating the transverse mesocolon without involvement of middle colic vessels. Subtotal gastrectomy with en bloc resection of mesocolic tissue was…

Fig. 1.1 The patient is placed supine with the left arm abducted, as required by the anesthetist, and the right arm adducted to leave sufficient room for the surgeon and…