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  • 1. Introduction
  • 2. Incision and Access to the Abdominal Cavity
  • 3. Abdominal Exploration to Rule out Metastasis
  • 4. Open Lesser Omentum to Expose the Pancreas
  • 5. Hepatic Artery Exposure
  • 6. Follow Hepatic Artery to Celiac Trunk and Splenic Artery
  • 7. Develop Plane Behind Pancreas
  • 8. Pancreas Transection
  • 9. Splenic Vessels Identification and Division
  • 10. Develop Retropancreatic Plane over the Renal Vein Following it to the Left
  • 11. Approach Through the Gastrocolic Omentum, Taking Down Short Gastrics and Mobilizing the Spleen to Deliver the Specimen
  • 12. Hemostasis
  • 13. Closure
  • 14. Post-op Remarks
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Open Distal Pancreatectomy for Pancreatic Cancer

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