Retracting the stomach cephalad
The stomach is retracted cephalad as the transverse colon is retracted caudad while the omentum is divided with the harmonic scalpel.
Dividing the mesoappendix
The mesoappendix is divided serially with clips, ligatures, or other hemostatic devices. Both the endoscopic stapler and the ultrasonic scalpel may also be used for this purpose.