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. Author manuscript; available in PMC: 2021 Dec 21.
Published in final edited form as: Thorac Surg Clin. 2019 Aug 30;29(4):369–377. doi: 10.1016/j.thorsurg.2019.06.001

Fig. 6.

Fig. 6.

Esophageal fat pad is mobilized medially off the anterior esophagus. This maneuver facilitates visualization of the gastroesophageal junction (GEJ) and assessment of intraabdominal esophageal length. Care is taken to not injury the anterior or posterior vagus nerve. We do not routinely incorporate posterior vagus nerve in the fat pad dissection. (From Karush J, Sarkaria IS. Robotic-assisted giant paraesophageal hernia repair and Nissen fundoplication. Oper Tech Thorac Cardiovasc Surg. 2013;18(3):212; with permission.)