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Herbella et al. Mini-invasive Surg 2019;3:22  I  http://dx.doi.org/10.20517/2574-1225.2019.19                                        Page 3 of 5

                A                                               B


















               Figure 3. Exposure of the esophagogastric junction and liver retraction with the conventional approach using a liver retractor through a
               right flank port A and the didactic approach with a palpator through an epigastric port B


                A                                                   B

























               Figure 4. Dissection of the distal esophagus and esophageal hiatus with the aid of a palpator. Retraction of the right A or left crus during
               dissection B




















                A                                             B


               Figure 5. Palpator replaced by a suction/irrigation to help maintain a blood free surgical field and act as a third hand to allow the surgeon
               to work by both hands during a leiomyoma enucleation A or hiatal hernia repair B
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