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Fig. 5 | Surgical Case Reports

Fig. 5

From: Robot-assisted transhiatal lower esophagectomy and proximal gastrectomy for Siewert type II advanced esophagogastric junction cancer with situs inversus totalis: a case report

Fig. 5

Intraoperative findings. a Two LGVs drained into the SPV. b, c The LGA branched an ALHA and was itself divided into three branches. d, e A sealing device was attached to the second arm and fourth arm depending on the situation. f Transhiatal lower mediastinal lymphadenectomy was performed. g The esophagus was transected 4 cm above the esophagogastric junction. h Esophagogastrostomy was performed using the side overlap with fundoplication by Yamashita method. LGV left gastric vein, SPV splenic vein, LGA left gastric artery, ALHA accessory left hepatic artery

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