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The lesser curve of the stomach at the incisura was cleared of vessels, and the gastroepiploic arch was divided on the greater curvature. The stomach was divided with a linear stapler.
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The peritoneal reflection around the first portion of jejunum beneath the transverse mesocolon was opened and the ligament of Treitz (indicated by forceps) was exposed and divided.
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The jejunal mesentery was transilluminated, and a vascular arcade was chosen for transection of the jejunum 14 cm beyond the ligament of Treitz. Note the mesenteric opening at the jejunal border.
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