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Surgical Case Reports
Fig. 4 | Surgical Case Reports

Fig. 4

From: Successful laparoscopic distal gastrectomy with D2 lymph node dissection preserving the common hepatic artery branched from the left gastric artery for advanced gastric cancer with an Adachi type VI (group 26) vascular anomaly

Fig. 4

The lymph node dissection around the root of the left gastric artery. 1 The tissue containing suprapancreatic lymph nodes was removed, and the root of the left gastric artery was detected. 2 The space between the left gastric artery and the tissue containing station 11p was separated. 3 The anterior surficial tissue of the left gastric artery was divided like a clamshell door. 4 The artery of a gastric branch from the left gastric artery was divided. CHA common hepatic artery, LGA left gastric artery, SA splenic artery, PV portal vein

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