Clinical significance of variant hepatic artery in pancreatic resection: A comprehensive review

Figure 10  Methods of hepatic artery reconstruction during pancreaticoduodenectomy. A: Splenic artery (SA) interposition between two ends of the common hepatic artery (CHA); B: SA transposition to be anastomosed with the CHA; C: Direct end-to-end anastomosis between replaced right hepatic artery (rRHA) and gastroduodenal artery (GDA); D: Graft interposition between proper hepatic artery (PHA) and right iliac artery (RIA); E: Direct end-to-end anastomosis between PHA and middle colic artery; F: Graft interposition between RHA and RIA, and end-to-side anastomosis between left hepatic artery and graft. CA: Celiac artery; LGA: Left gastric artery; rCHA: Replaced common hepatic artery; SMA: Superior mesenteric artery; rRHA: Replaced right hepatic artery; CHA: Common hepatic artery; GDA: Gastroduodenal artery; LHA: Left hepatic artery; MCA: Middle colic artery; SA: Splenic artery.