Fig. 5

a Scheme of the resection line of the pancreaticoduodenectomy in this case (dotted line). b After dissecting the upper edge of the pancreas in the hepatoduodenal ligament, the common bile duct was encircled at the level of the upper edge of the pancreas. c The hepatoduodenal ligament including two major collateral vessels, was mostly preserved. d Intraoperative picture after pancreaticoduodenectomy: distal stump of the bile duct was clamped with a forceps. GB gall bladder, DU duodenum, PV portal vein, SMV superior mesenteric vein, SV splenic vein, Panc pancreas, IVC inferior vena cava, LRV left renal vein