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Dissection of the posterior wall of the stomach off the pancreas

Dissection of the posterior wall of the stomach off the pancreas
In laparoscopic total gastrectomy, the posterior wall of the stomach should be dissected off the anterior aspect of the pancreas until the gastroduodenal artery groove (arrow) can be visualized to ensure adequate mobilization of the stomach.
Courtesy of Joyce Wong, MD.
Graphic 111498 Version 1.0