Open and Minimal Approaches to Pancreatic Adenocarcinoma

Figure 2

Preoperative CT triple phase may identify the anomalous anatomy shown here where the right hepatic artery originates from the SMA (red sloop) and left hepatic artery from the left gastric artery (blue sloop). The above patient had received neoadjuvant chemoradiation, and therefore, normal anatomical planes are not present and preoperative imaging can assist in safe dissection.