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Operative images. (A) Distal pancreas mobilization with energy device. (B) Distal margin resection with endo-GIA (Medtronic). (C) Distal margin reinforcement prolene 5-0 suturing. (D) Identification of pancreatic duct with laparoscopic scissors. (E) Duct-to-mucosa suture with ArtiSential (LivsMed Inc.). (F) Anterior layer suture with ArtiSential. SMV, superior mesenteric vein; SV, splenic vein; P, remnant pancreas; PD, pancreatic duct; J, jejunum.
