Laparoscopic Distal Pancreatectomy with or without Preservation of the Spleen for Solid Pseudopapillary Neoplasm

Figure 6

(a) The anterior wall of the SMV and PV was carefully and completely separated from the pancreatic parenchyma. (b) and (c) Tunneling of the pancreas was then performed at the level of the PV and SMV. (d) and (e) The pancreas was taped for retraction. (f) Sufficient tension was created using the forceps shaft. (g) Three-dimensional imaging revealed that the DPA branched from the SPA near the tumor. (h) The DPA was visualized. DPA, dorsal pancreatic artery; PV, portal vein; SMV, superior mesenteric vein; SPA, splenic artery.

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