PMC7683285_01
Lesions in the intraoperative Upper Endoscopy vie.
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Normally, that would be followed by gastric division, but we started by approaching the gastric lesions assisted by intraoperative UE (Fig. 1).
Lesion 'tattoo' with Methylene Blue.
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The lesions were identified by endoscopist with 2 ml of methylene blue (MB) diluted in 8 ml of purified water (Fig. 2).
Video-laparoscopic view with endoscopic transilumination of the region to be dissected.
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The lesions were also identified, during the laparoscopy, through endoscopic transillumination (Fig. 3). The dissection of the most distal lesion up to the stomach mucosa was successfully identified with MB (Fig. 3, Fig. 4, Fig. 5).
Gastric division using automatic stapler including the proximal lesion.
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The dissection of the most distal lesion up to the stomach mucosa was successfully identified with MB (Fig. 3, Fig. 4, Fig. 5).