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Exploration of liver, gall bladder, pancreas, duodenum and spleen

Dissection of pancreas (continued).

For permissions information regarding the use of these images, please contact Drew Bourn at dbourn@stanford.edu

Image #146-3
Bassett ImageDiagram Image
Legend Image
Exploration of liver, gall bladder, pancreas, duodenum and spleen
Dissection of pancreas (continued).
The accessory pancreatic duct (5) can be traced from its communication with the main pancreatic duct (4) laterally to its point of penetration of the duodenal wall. A major part of the head of the pancreas is drained by the accessory duct, although branches of the main duct are seen to reach the uncinate process and more posterior areas of the head.
1 . Duodenum (cut across)
2 . Pancreatic duct
3 . Gastroduodenal artery (note multiple pancreaticoduodenal branches)
4 . Junction of accessory and main pancreatic ducts
5 . Accessory pancreatic duct
6 . Pancreatic duct (at point of entry into duodenal wall)
7 . Duodenum (longitudinal muscle layer visible)
8 . Branch of accessory pancreatic duct
9 . Common bile duct
10 . Portal vein
11 . Proper hepatic artery
12 . Hepatic plexus
13 . Gastroduodenal artery (pointer near origin of artery)
14 . Hepatic lymph node
15 . Left gastric vein (visible behind dissected pancreas and pancreatic duct)
16 . Portal vein (at junction of splenic and superior mesenteric veins)
17 . Splenic artery
18 . Splenic vein
19 . Body of pancreas (intact margin adjacent to dissected area)
20 . Inferior mesenteric vein
21 . Superior mesenteric vein
22 . Branches of gastroduodenal artery
23 . Superior mesenteric artery
24 . Inferior pancreaticoduodenal artery
25 . Uncinate process of pancreas
26 . Pancreatic vein (inferior)