A. Transillumination and finger depression of the abdominal wall confirm juxtaposition of the inflated stomach and the anterior abdominal wall. B. The site selected will generally be approximately halfway between costal margin and umbilicus.
With the patient in the left lateral decubitus position, the endoscopist facing the patient, and the scope relaxed as described in the text, entry into the stomach will generally give a view oriented with the lesser curvature at 12 o’clock, the greater cu
Surgeon using nondominant (left) hand to palpate the head of the stapler/tacking device through the anterior abdominal wall, thus verifying stapler/tacking device position relative to external landmarks and providing counterpressure.
The colon is retracted toward the anterior abdominal wall as the vascular pedicle is divided with the linear cutting stapler.