c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Ivor-Lewis Esophagectomy: 16

A D V E R T I S E M E N T

   
 

With the stomach elevated, the left gastric artery was dissected. The origins of the splenic and common hepatic arteries can be seen to the left and below the left gastric.       

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Ivor-Lewis Esophagectomy: 17

A D V E R T I S E M E N T

   
 

The gastrohepatic omentum was opened up toward the hiatus. The hepatic branch of the anterior vagus can be faintly seen at the right cut edge of the opening. This nerve was divided. There was no accessory or replaced left hepatic branch (15%) coming from the left gastric, which, when present, runs in the upper part of the gastrohepatic omentum (see biliary anatomy).      

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Ivor-Lewis Esophagectomy: 18

A D V E R T I S E M E N T

   
 

With no evidence of extension of disease, it was elected to prepare the left gastric for division, and prepare the gastric conduit for delivery into the chest if the tumor proved resectable.       

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This page was last modified on 2/28/2002.