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