Pancreaticoduodenectomy: Secondary stenting of the celiac trunk after inefficient median arcuate ligament release and reoperation as an alternative to simultaneous hepatic artery reconstruction

Figure 4 Pancreaticoduodenectomy. Operative views (A, B) after mobilization of the specimen showing a very large inferior pancreaticoduodenal artery (IPDA) and the pancreaticoduodenal arcade. After resection (C, D), the stumps of the pancreaticoduodenal arteries (superior pancreaticoduodenal artery and IPDA) are shown. SMA: Superior mesenteric artery; HA: Hepatic artery; GDA: Gastroduodenal artery; SMV: Superior mesenteric vein; PV: Portal vein.