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Surgical Case Reports
Fig. 2 | Surgical Case Reports

Fig. 2

From: The therapeutic strategy for advanced gastric cancer with pyloric stenosis and liver metastasis; successfully treated by gastro-jejunal bypass and chemotherapy first, followed by curative R0 resection

Fig. 2

Schema of each surgery. a First surgery; gastro-jejunal bypass (Roux-en-Y gastric bypass) and modified Devine exclusion were performed. Gastrojejunostomy (triangle) and jejuno-jejunostomy (arrow). b Second surgery; distal gastrectomy with D2 lymphadenectomy and partial hepatectomy were performed (red dotted line). P; primary lesion, M; metastatic lesion of the liver, and Red thick line; resection line of the stomach and duodenum

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