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Fig. 1 | BMC Surgery

Fig. 1

From: Laparoscopic transgastric necrosectomy in treatment of walled-off pancreatic necrosis with sinistral portal hypertension

Fig. 1

Representative preoperative CT imaging and intraoperative photos of laparoscopic trans gastric necrosectomy. Representative preoperative CT imaging revealed the walled-off pancreatic necrosis (WON) confined to lesser sac, gastric varices (black arrow) and enlarged spleen (red arrow) (a–c). Laparoscopic exploration showed that WON was located in the lesser sac (d). Opening the anterior wall of stomach (e). Laparoscopic ultrasound (LUS) was used to confirm the site, extent, and composition of WON (f). Opening the posterior wall of stomach (g). Laparoscopic staple was used to create gastrostomy in posterior gastric wall (h). Necrosectomy through gastrostomy (i). CT imaging after interventional treatment (j–l)

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BMC Surgery

ISSN: 1471-2482

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