Fig. 2. Laparoscopic procedures. Application of intestinal clamps to the proximal jejunum (A), dissection of the lesser curvature of the esophagogastric junction (arrow) (B), perforation of the gastric wall using a needle-knife (arrow) (C), partially circumferential full-thickness incision using an insulation-tipped knife (arrow) (D), laparoscopic resection of the tumor using ultrasonic shears (E), identification of the esophageal opening (arrow) (F), closure of the mucosa and submucosa (G), and closure of the seromuscular layer (H).