Figure 2An operative photograph taken after the resection (Case 3). Complete removal of the tumor is achieved by distal pancreatectomy with en bloc resection of the celiac, common hepatic, and left gastric arteries, the celiac plexus and ganglions, paraaortic lymph nodes, the diaphragmatic crus, and the left adrenal gland. Arrows indicate the stumps of the celiac artery and the common hepatic artery. The superior mesenteric artery (S) and the left renal vein (R) are taped. E: Cut end of the pancreas; A: Aorta; K: Left kidney.