Advances in laparoscopy for acute care surgery and trauma

Figure 6 A four-trocar laparoscopic gastroduodenal resection for duodenal perforation. A: “Open-book” duodenal perforation; B: Dissecting the inflamed pylorus from the head of the pancreas; C: Duodenal resection; D: Oversewing the duodenal stump; E: Performing latero-lateral intra-corporeal stapled anastomosis on the posterior stomach wall; F: Closing the enterotomy with interrupted stitches; G: Functional and aesthetic outcome. Provided by personal courtesy of Dr. S. Di Saverio, MD, FACS, FRCS.