Hind Right Approach Pancreaticoduodenectomy: From Skill to Indications

Figure 3

Hind right approach PD. Within the MP dissection, the SMA origin is detected in the angle between the left border of the IVC and the upper margin of the LRV. A RHA arising from the SMA is easily isolated 1-2 cm beneath SMA origin. The aberrant vessel is dissected upwards to the hepatic artery and preserved. The SMA is dissected along 4 cm towards the mesenteric root. CBD: common bile duct; D: duodenum; GDA: gastroduodenal artery; IVC: inferior vena cava; LRV: left renal vein; P: pancreas; SV: splenic vein; SMA: superior mesenteric artery; SMV: superior mesenteric vein.