Caption: Figure 2a: Kocherization
exposing inferior vena cava (IVC) and left renal vein (LRV)
We used the posterior approach; that is, we exposed and taped the root of the SMA initially in front of the left renal vein after kocherization
. This enabled total control of the arterial anomaly before identification and ligation, which contributed to safe resection and secure lymph node dissection even in an extremely rare condition.
of the duodenum was performed.
 proposed an extended lymphadenectomy with duodenal kocherization
Stomach mobilization with minimum trauma, careful preservation of right gastroepiploic arcade9, kocherization
of proximal duodenum, creating ample mediastinal tunnel9, dividing proximal esophagus at sternal notch level and dividing esophageal mucosa about 2 cm distal to the division of esophageal muscles were the key factors to obtain a tension free anastomosis.
A laparotomy was performed and a 0.5 cm perforation was seen in the antero-lateral border of the duodenum at the junction of the first and second parts of the duodenum following kocherization
. The perforation was oversewn and repaired with an omental patch.