STEP 7Dissection of suprapancreatic nodes

Along the superior border of the pancreas the adipose tissue contains many lymph nodes. It is divided from the pancreas and the surface of the common hepatic, splenic, and celiac arteries. These arteries are surrounded by thick nerve tissue. It should be preserved in case of no adherence of suspect lymph nodes. The left gastric vein is visible and therefore ligated and divided. Caudally it crosses the origin of either the common hepatic or splenic artery before entering the splenic vein in about 30-40 % of patients. In the majority the left gastric vein passes obliquely behind the hepatic artery to join the junction of the splenic and portal veins.

Common Hepatic Artery Lymph Node

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