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Fig. 2 | Surgical Case Reports

Fig. 2

From: Laparoscopic distal gastrectomy for gastric cancer patient with intestinal malrotation: report of a case

Fig. 2

Operative views during infrapyloric lymph node dissection. a View of the infrapyloric area. Right gastroepiploic vessels were dissected and cut during the infrapyloric lymph node dissection in close proximity to the pancreas. b, c A part of the pancreatic head could not be separated from the first part of the duodenal wall during the infrapyloric lymph node dissection. Irregular adhesion of the pancreatic head to the pylorus made it difficult to dissect the infrapyloric lymph node. d We performed meticulous lymph node dissection by accurately tracing the dissectable layer, created by adequate countertraction. Subsequently, the right gastroepiploic vessels were cut and infrapyloric lymph node dissection was performed

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