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a The Kocher maneuver is extended to the left and elevation of the pancreatic head allows exposure of the entire left renal vein and the left adrenal and gonadal veins. b The vein is transected with a linear stapling device distal to the insertion of the left adrenal and gonadal veins and again flush with the inferior vena cava. c The left renal vein is used as an interposition graft to restore continuity to the mesenteric venous system.
