Transcript
Kocherization 1
Assistant’s hands holding Assistant’s hands holding the duodenumthe duodenum
Inf. vena cavaInf. vena cava Transv. colonTransv. colon
22ndnd part of the part of the duodenumduodenum
HeadHead
Kocherization 2
Kocherization 3
Inf. vena cavaInf. vena cavaTransv. colonTransv. colon
AortaAorta
Lt. renal V.Lt. renal V.
Rt. kidneyRt. kidney
Bursectomy
OmentumOmentum
DuodenumDuodenum
Ant. sheet of transv. mesocolonAnt. sheet of transv. mesocolon
Post. sheet of transv. mesocolonPost. sheet of transv. mesocolon
Completion of Bursectomy
Pancreatic tailPancreatic tail
Exposure of the Gastro-colic Trunk
Middle colic V.Middle colic V.
Acc. rt. colic V.Acc. rt. colic V.
Rt. gastro-epiploic V.Rt. gastro-epiploic V.
Ant. sup. panc. duod. V.Ant. sup. panc. duod. V.
Sup. mesenteric V.Sup. mesenteric V.
Gastro-colic trunkGastro-colic trunk
Division of the Right Gastro-epiploic Vein
Exposure of the Supra-pyloric Area
Rt. gastric A.Rt. gastric A.
Sup. duodenal A.Sup. duodenal A.
PylorusPylorus
Exposure of the Right Gastric Argery
Gastroduodenal A.Gastroduodenal A.
Rt. gastric A.Rt. gastric A.
Transection of the Duodenum
Dissection of the Upper Border of the Pancreas
Identification of the Splenic Artery
Splenic A.Splenic A.
Gastroduodenal A.Gastroduodenal A.
No. 8a LNNo. 8a LN
Common hepatic A.Common hepatic A.
Dissection of the No. 12a Nodes
No. 12a LNNo. 12a LN
Common hepatic A.Common hepatic A.Proper hepatic A.Proper hepatic A.
Portal V.Portal V.
Taping of the Common Hepatic Artery
Lymphadenectomy along the Splenic Artery
Great pancreatic A.Great pancreatic A.
Splenic V.Splenic V.
Post. gastric A.Post. gastric A.
Splenic A.Splenic A.
Ligation of the Splenic Artery
Division of the Left Gastric Artery
Lt. gastric A. stumpLt. gastric A. stump
Exposure of the Esophageal Hiatus
Diaphragmatic crusDiaphragmatic crus
Post. wall of the cardiaPost. wall of the cardiaPost. vagal trunkPost. vagal trunk
Exposure of the Abdominal Esophagus
Transection of the Esophagus
Mobilization of the Pancreas 1
Pancreatic bodyPancreatic bodySpleenSpleen
Lt. adrenalLt. adrenal
Mobilization of the Pancreas 2
Pancreatic tailPancreatic tailSpleenSpleen
Lt. kidneyLt. kidney
Mobilization of the Spleen
SpleenSpleen
Completion of Mobilization
SpleenSpleenStomachStomach
Exposure of the Splenic Vein
Splenic V.Splenic V.
Splenic A.Splenic A.
Celiac A.Celiac A.
Lt. gastric A. stumpLt. gastric A. stump
Pancreatic tailPancreatic tail
Distal Pancreatectomy
Completion of No. 14v Dissection
Sup. mesenteric Sup. mesenteric V.V.
Acc. rt. colic V.Acc. rt. colic V.
Ant. sup. panc. duod. V.Ant. sup. panc. duod. V.
Middle colic V.Middle colic V.
Rt. gastro-epiploic V. stumpRt. gastro-epiploic V. stump
Tape on the gastro-colic trunkTape on the gastro-colic trunk
Esophago-jejunostomy 1
Esophago-jejunostomy 2
Closure of the Jejunal Stump
EsophagojejunostomyEsophagojejunostomy
Jejuno-jejunostomy
Completion of Roux-en-Y Reconstruction
Jejuno-jejunostomyJejuno-jejunostomy
Closure of the Mesenteric Defect
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