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Fig. 1 | World Journal of Surgical Oncology

Fig. 1

From: Liver necrosis shortly after pancreaticoduodenectomy with resection of the replaced left hepatic artery

Fig. 1

Preoperative CT and operative scheme for hepatic arteries following pancreaticoduodenectomy. a In case 1, the replaced left hepatic artery (rLHA) is segment 2/3 artery (A2 + A3) (arrows), which arises from the left gastric artery (LGA). b In case 1, Reconstructions of the hepatic arteries: the distal stump of the replaced right hepatic artery (rRHA) is anastomosed to the proximal stump of the LGA. The proximal stump of the rRHA is anastomosed with the left side of the portal vein (PV). The distal stump of the A2 + A3 is not reconstructed. c In case 2, the rLHA is segment 2 artery (A2) (arrows) only, which arises from the LGA. d In case 2, The distal stump of A2 is not reconstructed due to technical difficulties. A-ant anterior branch of the right hepatic artery, A-post posterior branch of the right hepatic artery, A4 segment 4 artery, A2 + A3 segment 2/3 artery, CA celiac axis, LGA left gastric artery, rRHA replaced right hepatic artery, PV portal vein, SMA superior mesenteric artery, A4 + A3 segment 4/3 artery, A2 segment 2 artery

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