Liver blood supply after a modified Appleby procedure in classical and aberrant arterial anatomy

Figure 4 Photograph. View of operating field after distal pancreatectomy with excision of celiac artery (CA) and its branches. Liver and stomach are fed with blood from the superior mesenteric artery (SMA) via pancreaticoduodenal arcade (PDA) and, thereafter, through the gastroduodenal artery (GDA). Full-blown right gastro-epiploic artery is found. Superior mesenteric vein (SMV) was resected at the site of confluence with splenic vein. LAV: Left adrenal vein; MCA: Medial colic; RHA: Right hepatic; LHA: Left hepatic arteries; LRV: Left renal vein; LGEA: Left gastro-epiploic artery.