CT scans and intraoperative imaging of patient one. a) Plain CT revealed two well-defined heterogeneous lesions: calcification was shown in the pancreatic head tumor (white arrow) and a septum was shown in the tail tumor (black arrow). b) Enhanced CT showed peripheral enhancement and complex cystic components with areas of necrosis; calcification (white arrow) and septum (black arrow) were clearer (arrow). c) Enhanced CT scan in portal phase. d) After a simultaneous atypical PD and atypical LP, about 6 cm of the pancreatic body was preserved (Pan), proper hepatic artery (black arrow) and the stapled stump of the splenic vein (white arrow) can be seen. D, duodenum; G, gallbladder; Pan, Pancreas; T, tumor.