Pancreaticoduodenectomy with venous resection. (a) Operative view of venous confluence reconstruction. (b) A simple trick to identify the vein for the pathologist: a small drain is gently inserted into the venous lumen; the vein is inked to show the portal vein groove (PV-SMVm). (c) Photographic reconstruction of the venous axis with a medial and posterior view of the specimen. RHA, right hepatic artery; PV, portal vein; SI, liver segment I; GV, gastric vein; ICV, ileo-colic vein; JV, jejunal vein; SV, splenic vein; IMV, inferior mesenteric vein; SMAm, superior mesenteric artery margin; Pm, posterior margin