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Surgical Case Reports
Fig. 3 | Surgical Case Reports

Fig. 3

From: Simultaneous resection of gastric and gallbladder metastasis from renal cell carcinoma treated by laparoscopic and endoscopic cooperative surgery: a case report

Fig. 3

A 2-cm incision was made at the umbilicus, and a wound protector and 12-mm port were inserted for the laparoscopic camera. Thereafter, a 12- and a 5-mm port were inserted at the left and right upper quadrants of the abdomen, respectively, for the working instruments. a A submucosal incision around the gastric tumor was made intraluminally through the gastrointestinal endoscope. b A seromuscular dissection was laparoscopically made under gastrointestinal endoscopic observation. The specimen was extracted through the umbilical port and the gastric incision hole was sutured using a barbed suture

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