FIELD: medicine.
SUBSTANCE: pancreas is separated from superior mesenteric, splenic and portal veins. Pancreas is crossed at isthmus height. Vein is medially shifted from pancreas head. Hamulus is uncovered. Hamulus is pulled upwards and laterally. Glandular parenchyma is dissected with duct wall by lower edge of pancreas head within avascular zone between anterior and posterior lower pancreaticoduodenal vessels.
EFFECT: method enables to maintain blood supply of pancreas head and to provide prevention of postoperative complications.
4 dwg, 1 ex
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