tuyến tụy, dạ dày, lá lách, và các cấu trúc mật được hiển thị tại chỗ. Các vị trí của các động mạch dạ dày tá tràng, arcade gastroepiploic, và ống mật chủ phải được đánh giá cao trước khi vào túi thấp hơn, huy động các tá tràng, và cổng thông tin mổ xẻ. | 566 Pertsemlidis and Pertsemlidis Figure 1 The pancreas stomach spleen and biliary structures shown in situ. The locations of the gastroduodenal artery gastroepiploic arcade and common bile duct must be appreciated prior to entry into the lesser sac mobilization of the duodenum and portal dissection. Figure 3 With the stomach elevated the broad attachment of the transverse mesocolon to the pancreas is appreciated. A probe is depicted in the epiploic foramen. Figure 2 The gastrocolic omentum has been incised and the lesser sac entered. Figure 4 Exposure of the anterior surface of the pancreas has been performed. The transverse mesocolon is to be incised exposing the inferior border of the pancreas. Marcel Dekker Inc. 270 Madison Avenue New York New York 10016 566 Pertsemlidis and Pertsemlidis Figure 1 The pancreas stomach spleen and biliary structures shown in situ. The locations of the gastroduodenal artery gastroepiploic arcade and common bile duct must be appreciated prior to entry into the lesser sac mobilization of the duodenum and portal dissection. Figure 3 With the stomach elevated the broad attachment of the transverse mesocolon to the pancreas is appreciated. A probe is depicted in the epiploic foramen. Figure 2 The gastrocolic omentum has been incised and the lesser sac entered. Figure 4 Exposure of the anterior surface of the pancreas has been performed. The transverse mesocolon is to be incised exposing the inferior border of the pancreas. Marcel Dekker Inc. 270 Madison Avenue New York New York 10016 Techniques of Conventional Open Pancreatic Surgery 567 Figure 5 The root of the colonic mesentery has been mobilized and the venous tributaries of the infrapancreatic superior mesenteric vein SMV divided. The ligated gastroepiploic and middle colic veins are depicted. The SMV is mobilized to the third portion of the duodenum and the first jejunal branch identified. imity of the tumor to the pancreatic duct choledochus and blood vessels Fig. 7 . The presence
