Endoscopic Transgastric Abdominal Exploration and Organ Resection: Initial Experience in a Porcine Model  Mihir S. Wagh, Benjamin F. Merrifield, Christopher C. Thompson  Clinical Gastroenterology and Hepatology  Volume 3, Issue 9, Pages 892-896 (September 2005) DOI: 10.1016/S1542-3565(05)00296-X Copyright © 2005 American Gastroenterological Association Terms and Conditions

Figure 1 (A) Endoscopic view of the peritoneal cavity after exiting the stomach via a transgastric incision. The liver, gallbladder, and small intestine are clearly visible in this photograph. (B) Retroflexed view during transgastric endoscopic surgery of the abdomen and pelvis. The small bowel and parietal peritoneum are amenable for thorough inspection, manipulation, and possible therapeutic interventions, as shown here. Clinical Gastroenterology and Hepatology 2005 3, 892-896DOI: (10.1016/S1542-3565(05)00296-X) Copyright © 2005 American Gastroenterological Association Terms and Conditions

Figure 2 (A) Resected specimen after transgastric endoscopic partial hysterectomy showing long tubular uterine horn and part of uterine body (left of specimen), with peritoneal attachments. (B) Resected specimen after transgastric endoscopic oophorectomy showing ovary (white arrow) with fallopian tubes and mesosalpinx. Clinical Gastroenterology and Hepatology 2005 3, 892-896DOI: (10.1016/S1542-3565(05)00296-X) Copyright © 2005 American Gastroenterological Association Terms and Conditions

Figure 3 View of abdominopelvic organs at necropsy showing Endoloop (blue) securely placed around the resection site of the left ovary and part of left uterine horn. There is no evidence of hematomas, abscesses, or damage to surrounding viscera. Clinical Gastroenterology and Hepatology 2005 3, 892-896DOI: (10.1016/S1542-3565(05)00296-X) Copyright © 2005 American Gastroenterological Association Terms and Conditions