Robotic General Surgery
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CHAPTER 21 • Pancreaticoduodenectomy
Splenic artery
Gastroepiploic artery
Short gastric arteries
Gastroepiploic artery Gastroduodenal artery
Splenic hilus
Splenic vein
Portal vein
Superior mesenteric artery (SMA)
Superior mesenteric vein (SMV)
Transverse colon
FIGURE 21.4 Annotated anatomic drawing of the surgical field for pancreaticoduodenectomy. Dashed lines outline the area depicted in subsequent operative pictures and illustrations.
Duodenum
Stomach
Gastrocolic ligament
Vena Cava
Colon
Colon
A
B
Duodenum
Portal Vein FIGURE 21.5 Kocherization and mobilization of the head of the pancreas. The gastrocolic ligament in incised (A). The duodenum is iden tified, and the duodenum and head of pancreas are mobilized until the vena cava (B), and then the portal vein (C) is identified. Copyright © Wolters Kluwer, Inc. Unauthorized reproduction of the content is prohibited. 2024 C
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