Fig 5.

A, Step 5: Transection of the pancreas, bile duct, stomach, and jejunum. Note. Having identified the PV, the pancreas and bile duct can now be safely transected. The stomach and jejunum are also transected, leaving behind the uncinate attached to the PV/SMV and the SMA. B, Intraoperative photograph demonstrating peon and umbilical tape placed through retropancreatic tunnel; division of the pancreas can now proceed. Arrow highlighting figure-of-8 Prolene used to control bleeding arcade vessels, which is the alternative method of controlling the bleeding to electrocautery.