Fig. 5From: Arterial communication around the pancreatic tail enabled division of the gastroduodenal artery during pancreaticoduodenectomy in patient with complete celiac artery occlusion: a case reportAssessment of the hepatic arterial blood flow with intraoperative doppler ultrasonography. a Hepatic arterial blood flow before the GDA clamping test. The acceleration time was 143 ms and resistive index was 0.531. b Hepatic arterial blood flow after the GDA clamping test. Acceleration time decreased to 60 ms and resistive index decreased to 0.428, suggesting no tardus-parvus pattern with the GDA clamping. c Hepatic arterial blood flow at the end of the operation. Acceleration time was 144 ms and resistive index was 0.537, suggesting no tardus-parvus pattern. GDA, gastroduodenal arteryBack to article page