Liver blood supply after a modified Appleby procedure in classical and aberrant arterial anatomy

Figure 9 Photograph. View of operating field after distal pancreatectomy with excision of celiac artery (CA), left gastric, common hepatic and left hepatic arteries. Superior mesenteric artery (SMA)-derived blood feeding of right hepatic lobe carried via the replaced right hepatic artery (rRHA). Blood supply to stomach is routed from SMA via pancreaticoduodenal arcades and then through gastroduodenal artery (GDA) with the latter’s proximal segment being resected and ligated. CA: Celiac artery; LAV: Left adrenal vein; LRV: Left renal vein; SMV: Superior mesenteric vein.