Initial dissection of the esophageal hiatus
Initial dissection of the esophageal hiatus. The right crus is identified and dissected toward its posterior confluence with the left crus.
Laparoscopic exposure of the esophageal hiatus
Laparoscopic exposure of the esophageal hiatus. A fan-type retractor (placed through the right subcostal port) elevates the left lateral hepatic segment anterolaterally. A Babcock clamp (placed through the left lateral port) retracts the stomach caudad. T