Through a transverse incision at the cranial umbilical pole, after creating the pneumoperitoneum, a 10mm optical trocar is inserted. Under transillumination, a total of four 5mm trocars are then placed semicircularly above the umbilical level, bilaterally at the midclavicular and anterior axillary lines. The surgeon operates through the two medial 5mm trocars, while the left liver retractor and the right gastric grasping forceps are introduced through the two lateral trocars. The patient is positioned in the anti-Trendelenburg position, and the operating table is slightly tilted to the left.
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Accesses/Trocar Positions
![Accesses/Trocar Positions]()
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Incision of the lesser omentum and dissection of the right diaphragmatic crus
Using a liver retractor, the left lobe of the liver is elevated, allowing a clear view of the esoph
Using a liver retractor, the left lobe of the liver is elevated, allowing a clear view of the esoph
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TachoSil<sup>®</sup> Versiegelungsmatrix
TachoSil® wird bei Erwachsenen und Kindern ab einem Alter von 1 Monat zur unterstützenden Behandlun
TachoSil® wird bei Erwachsenen und Kindern ab einem Alter von 1 Monat zur unterstützenden Behandlun
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general and visceral surgery
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