Liver Retraction Using n-Butyl-2-Cyanoacrylate (NBCA) Glue during Laparoscopic Splenectomy and Azygoportal Disconnection in Cirrhotic Patients

Figure 2

The operation of laparoscopic azygoportal disconnection and the liver adhesion lasted until the end of the operations. (a) The stomach was pulled to the left with a sterile gauze tape. (b) A surgeon was dividing the paraesophageal venous collaterals with harmonic scalpel. (c) The distal esophagus was dissected through the hiatus, and the paraesophageal venous collaterals were divided. (d) The left lateral lobe was still attached to the diaphragm when the distal esophagus devascularization finished.

(a)

(b)

(c)

(d)