Figure 2

Intraoperative surgical view of SPRDG. (a) Instrument positioning, tissue traction, and dissection; (b) a linear stapler for duodenal transection through the assist trocar; (c) camera placement positioned below till the completion of station #6; (d) after duodenal transection, all instruments were rotated 180 degrees and the camera was positioned above for suprapancreatic lymph node dissection; (e) intracorporeal delta-shaped gastroduodenostomy stapled via trocars located on the patient’s left side; (2f.) gastrojejunostomy stapled via trocars located on the patient’s right side.