Collagen-based biological glue after Appleby operation for advanced gastric cancer

Figure 1 Contrast-enhanced computed tomography scan. A cardia tumor is evident (A), associated with multiple enlarged nodes infiltrating the celiac trunk origin (B) and the pancreatic body (C).

Figure 2 Intraoperative findings. Celiac trunk origin from the aorta is free from tumor infiltration.

Figure 3 Intraoperative findings after the demolitive phase. A: From the left, the distal hepatic artery stump, the celiac stump and the superior mesenteric artery; B, C: Tachosil^® is then applied over the aorta (B) and over the pancreas stump (C).