PMC5718027_01
Surgical steps.
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figure1
Thus, the parietal peritoneum and the upper fibres of the transversus abdominis muscle are incised until the diaphragm is identified (Figure 1).
Anatomical structures before entering into the anterior cardiphrenic space by a subxiphoid approach. To view this video, click here https://ecancer.org/journal/11/780-a-different-surgical-approach-for-cardiophrenic-lymph-node-resection-in-advanced-ovarian-cancer.php.
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figure2
Diaphragmatic deinsertion may be extended 5-7 cm laterally to the xiphoid appendix, following the inferior costal margin according with the localisation of the enlarged lymph nodes (Figure 2).