Reexpansion Pulmonary Edema following Laparoscopy-Assisted Distal Gastrectomy for a Patient with Early Gastric Cancer: A Case Report
Figure 2
Intraabdominal findings from the laparoscopy-assisted distal gastrectomy with lymphadenectomy. (a) Dissection of the infrapyloric lymph nodes (station 6) from the pancreatic head: the right gastroepiploic vessels were exposed and divided. (b) Dissection of lymph node stations 7, 8a, 9, and 11p: suprapancreatic lymph nodes and lymph nodes around the celiac axis were dissected along the common hepatic artery and the splenic artery. (c) Transection of the duodenum: the duodenum was cut 1 cm distal to the pylorus using an endoscopic stapling device (Endo GIA, Duet TRS, Covidien, Tokyo, Japan). (d) Anastomosis: a Roux-en Y gastrojejunostomy was made. The jejunal limb was pulled up through the retrocolic route.
