Whipple with extended right hepatectomy and right nephrectomy (Part I) - TVASurg

Case Description

A 27-year-old male presented with a sarcoma of the pancreas head that had engulfed the inferior vena cava and invaded the liver including segments I, VI and VII.
The tumour also involved main portal vein, right hepatic artery, right renal artery and vein, and common bile duct.
Obstruction of the IVC led to re-routing of venous blood flow to drain the common iliac veins via the ascending lumbar veins.
The surgical plan was an extended right hepatectomy, resection of segments I, V, VI, VII, & VIII with a Whipple and right nephrectomy.
The stomach and the proximal jejunum were divided, followed by transecting the pancreas to the left of the portal vein.

CT scans (Venous Phase)

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Specimen model