STEP 1Exposure

Laparotomy and inspection are performed of the peritoneum, liver and, after mobilization of the duodenum by the Kocher maneuver, the para-aortic area. After cytological washings out of the Douglas space, one or two Kent type retractors with one or two octopus retractors are inserted for best overall view of the epigastric region, especially the diaphragmatic esophageal hiatus. Excision of the ensisternum is recommended.

Steps of the preparation of the gastrectomy are described in the chapter "Total Gastrectomy with Conventional Lymphadenectomy."

Was this article helpful?

0 0
How to Stay Young

How to Stay Young

For centuries, ever since the legendary Ponce de Leon went searching for the elusive Fountain of Youth, people have been looking for ways to slow down the aging process. Medical science has made great strides in keeping people alive longer by preventing and curing disease, and helping people to live healthier lives. Average life expectancy keeps increasing, and most of us can look forward to the chance to live much longer lives than our ancestors.

Get My Free Ebook

Post a comment