Fig. 4

The extended right hemi-hepatectomy included the middle hepatic vein, and distal pancreatectomy and splenectomy with retroperitoneal tissue resection included left adrenal gland and Gerota’s fascia (tumor in the circle). a A 15-mm-sized tumor existed in the tail of pancreas, which was surrounded by consistently scarred tissues adjacent to the splenic hilum showing unclear boundaries. b A 45 × 25-mm-sized white-colored tumor with a thin capsule in the liver