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Photograghs of the laparoscopic duodenum-preserving pancreatic head resection (LDPPHR) procedure: (A) exposing the gastroduodenal artery (GDA) and excising the anterior superior pancreatoduodenal artery (ASPD); (B) status after complete resection of the pancreatic head; (C) exposure of the main pancreatic duct (MPD); and (D) reconstruction. The pancreaticojejunostomy was between the neck of the pancreas and the jejunal loop (duct-to-mucosa, blue arrow).
