Figure 4

Laparoscopic central pancreatectomy. (A) Mobilizing the superior border of the pancreas. (B) Mobilizing the inferior border and back of the pancreas. (C) Transecting with a 60-mm linear stapler on the right side of the lesion. (D) Transecting the distal pancreas. (E) View after the central pancreatectomy. (F) Suturing the jejunal serosa to the posterior capsule of the pancreas. (G) Suturing the full thickness of the jejunum to the pancreas (parenchyma and capsule). (H) Final view after reconstruction. CHA, common hepatic artery; CS, cephalic stump; DP, distal pancreas; GDA, gastroduodenal artery; J, jejunum; P, pancreas; PJ, pancreaticojejunostomy; PV, portal vein; SA, splenic artery; SMV, superior mesenteric venous; SV, splenic vein.