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Fig. 2 | World Journal of Surgical Oncology

Fig. 2

From: Total portal vein replacement with peritoneal interposition graft during Whipple’s procedure for extrahepatic cholangiocarcinoma: a technical report

Fig. 2

a, b Autologous peritoneal interposition graft preparation. A 4 × 3 cm section of diaphragmatic parietal peritoneum was harvested from the right subcostal area. The section obtained was tubularized, using a 10-mm trocar as support model (a) by a running 6/0 prolene suture (b). c, d Operating field after successful portal trunk reconstruction with autologous peritoneal interposition graft (APG). The graft was anastomosed (yellow arrows), under proximal and distal clamping, right above the spleno-mesenteric confluence with two end-to-end prolene 6/0 sutures. SV, splenic vein; SMV, superior mesenteric vein

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