Annals of Hepato-Biliary-Pancreatic Surgery

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Fig. 1.

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Fig. 1. Preoperative CT scan. Invasion of pancreatic head cancer around SMV-SV-PV confluence and CHA was noted at the time of diagnosis (A). Soft tissue infiltration was still noted without progression after neo-adjuvant chemotherapy (B). White Dotted circle indicates tumor area and thick long white arrow indicates cancer infiltrating around common hepatic artery (B, C). Note atrophic change of distal part of the pancreas makes enough space between tip of the pancreas and splenic hilum (yellow arrow). Potential division line of pancreaticosplenic ligament was noted (red dotted line, C). CT, computed tomography; SMV, superior mesenteric vein; SV, splenic vein; PV, portal vein; CHA, common hepatic artery.
Ann Hepatobiliary Pancreat Surg 2021;25:307-12
© 2021 Ann Hepatobiliary Pancreat Surg