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. 2007 Apr 25;5:44. doi: 10.1186/1477-7819-5-44

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Copyright © 2007 Gockel et al; licensee BioMed Central Ltd.

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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A). The pancreatic head was dissected laterally of the Superior Mesenteric Vein (SMV) and is turned to the right side after mobilization. The mesopancreas strains itself dorsally of themesenteric vessels as a whitish-firm, fatty tissue-like layer. PH = Pancreatic Head; SMV = Superior Mesenteric Vein; PV = Portal Vein; MP = Mesopancreas . B). Resection of the pancreas and mesopancreas dorsally of the mesenteric vessels en bloc. PH = Pancreatic Head; MP = Mesopancreas ; PAF = Preaortic Fascia, PC = Plexus Coeliacus, PMS = Plexus Mesentericus superior. C). Macroscopically, in the dissected en-bloc specimen of the pancreas and mesopancreas nerve plexuses are found running from the dorsal surface of the pancreatic head to the mesopancreas to establish a perineural plane. PH = Pancreatic Head;NP = Nerve Plexus; SMV = Superior Mesenteric Vein; PV = Portal Vein; MP = Mesopancreas . D). The nerve plexus of the dorsal site of the pancreatic head is depicted in a detailed view after preparation of the layer between pancreas and mesopancreas. PH = Pancreatic Head; NP = Nerve Plexus of the dorsal margin of the pancreatic head.

Inline graphic — A). The pancreatic head was dissected laterally of the Superior Mesenteric Vein (SMV) and is turned to the right side after mobilization. The mesopancreas strains itself dorsally of themesenteric vessels as a whitish-firm, fatty tissue-like layer. PH = Pancreatic Head; SMV = Superior Mesenteric Vein; PV = Portal Vein; MP = Mesopancreas . B). Resection of the pancreas and mesopancreas dorsally of the mesenteric vessels en bloc. PH = Pancreatic Head; MP = Mesopancreas ; PAF = Preaortic Fascia, PC = Plexus Coeliacus, PMS = Plexus Mesentericus superior. C). Macroscopically, in the dissected en-bloc specimen of the pancreas and mesopancreas nerve plexuses are found running from the dorsal surface of the pancreatic head to the mesopancreas to establish a perineural plane. PH = Pancreatic Head;NP = Nerve Plexus; SMV = Superior Mesenteric Vein; PV = Portal Vein; MP = Mesopancreas . D). The nerve plexus of the dorsal site of the pancreatic head is depicted in a detailed view after preparation of the layer between pancreas and mesopancreas. PH = Pancreatic Head; NP = Nerve Plexus of the dorsal margin of the pancreatic head.