Da Vinci robot-assisted pancreato-duodenectomy in a patient with situs inversus totalis: A case report and review of literature

Figure 4 Detailed surgical procedure. A: Abdominal examination revealed that the abdominal organs were in reverse positions; B: The common hepatic artery was exposed; C: Separation revealed the right gastric artery; D: A Kocher incision was made to expose the inferior vena cava; E: The head of the pancreas covered the descending and horizontal parts of the duodenum; F: Exposing the superior mesenteric vein; G: The uncinate process of the pancreas was amputated along the right side of the superior mesenteric vein. CHA: Common hepatic artery; GB: Gallbladder; IVC: Inferior vena cava; RGA: Right gastric artery; SMA: Superior mesenteric artery; SMV: Superior mesenteric vein.