1) Draping: shave abdo and groins, knees to nipple prep, groin drape and square offs, ioban over abdomen
2) Midline incision from xiphi to pubis
3) Check placement of NG
4) Find and divide LT and mobilize 4th part of duodenum by dividing filmy attachment between duodenum and inferior mesenteric vein
5) Place bookwalter or omni with right sided bias as most contents will be retracted that way
6) Retract tranverse colon by placing splancnic retractors to also retract duodenum and IMV
7) Place large maleable retractor at base of small bowel mesentery and retract to right
8) Place maleable retractor in RLQ and LLQ
9) small side wall retractor for abdominal wall to left
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