Surgeons can now consider a new arterial reconstruction method for the left gastric artery (LGA) during distal pancreatectomy with celiac axis resection (DP-CAR).

• The common hepatic artery (CHA) can successfully supply the replaced left hepatic artery (RLHA), ensuring adequate blood flow.
• The procedure had an operative time of 215 minutes and only 35 ml of blood loss.

This innovative approach may improve outcomes in complex cases of pancreatic cancer.

• Indocyanine green fluorescence confirmed effective tissue perfusion during surgery.