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Laparoscopic anatomy of the paraesophageal hernias. (A) Dilated hiatus with totally intrathoracic stomach. Greater curvature is visible in the hernia sac and the greater omentum draping over the hiatus. (B) Foamy appearance of the mediastinal tissue signifies the correct plane of dissection. (C) Subcarinal lymph node pocket and thoracic duct exposed along the thoracic aorta are visible during the dissection.
