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. 2024 Apr 15;12(4):E513–E519. doi: 10.1055/a-2239-9493

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The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.

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Fig. 1 — Endoscopic images of the endoscopic transgastric hepatic cyst deroofing (ETGHCD) procedure. a Endoscopic ultrasonography was performed to confirm the location of the cysts. b,c Active perforation of the anterior wall of the gastric antrum. d Entering the abdominal cavity and locating the cyst. e Finding the thinnest part of the cyst wall. f,g,h,i Puncturing cyst and cyst deroofing. j Closure of the gastric wall.