Two-Step Laparoscopic Surgery for a Patient with Synchronous Double Cancer of the Colon and Stomach Accompanied by Severe Chronic Obstructive Pulmonary Disease
Figure 2
Intra-abdominal findings during laparoscopy-assisted distal gastrectomy with lymphadenectomy. (a) There was minimal adhesion of the omentum at the umbilical port site. (b) Dissection of lymph node stations 7 (lymph nodes along the trunk of left gastric artery). (c) Transection of the duodenum: the duodenum was cut nearly distal to the pylorus using an endoscopic liner stapler (GIA stapling system, blue; Covidien, Tokyo, Japan). (d) Billroth I reconstruction was performed by a hemi-double-stapling technique using circular stapler (DST Series EEA Stapler 28; Covidien Japan).
