*7.7.5 Pancreas*

As I discussed previously, pancreas usually is procured along with the liver and separated from it in back table procedure. If the surgeon decided to retrieve each organ individually, then after removing the stomach by stapling of duodenum after pylorus, portal vein, GD and splenic arteries are cut at the upper border of pancreas. Another staple is used for transection of the duodenum between D2 and D3 area at the level of uncinate process, and the SMV and SMA and origin of mesentery is transected by another vascular staple. The IMV is ligated the lower border of pancreas is separated from left renal vein and the left kidney. The previously extended Kocherization is continued toward the left to separate the duodenum from the vertebra, aorta and posterior wall of the abdomen and at last the attachments of the spleen are released and procurement of the duodenum-pancreas-spleen is completed [30, 34].
