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

Figure 7

(a) The DPA was clipped twice with adequate margins from the SPA (yellow arrows). (b) The DPA was then cut using LCS. (c) Stapling was performed using the Covidien stapler with a separate and preceding compression step using an atraumatic clip. (d) Pancreatic parenchyma was compressed beforehand (red arrows). (e) A powered stapler was used to cut the pancreatic parenchyma. (f) Lack of involvement of vessels in the staple line was confirmed. (g) The pancreatic stump was examined. (h) The capsule of the pancreatic remnant was checked carefully and capsular injury was identified near the staple line (yellow circles). DPA, dorsal pancreatic artery; LCS, laparoscopic coagulation shears; SPA, splenic artery.

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