Identification of the left kidney and gonadal vein after medial mobilization of the colon and spleen.
The plastic specimen bag has been retrieved through a large port site. A ring forceps is used to fragment the spleen and remove it piecemeal.
Retract the stomach rightward and the spleen and omentum left and downward to complete mobilization of the fundus. These maneuvers open the lesser sac and facilitate division of the high short gastric vessels.