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Fig. 1 | BMC Surgery

Fig. 1

From: Transduodenal ampullectomy provides a less invasive technique to cure early ampullary cancer

Fig. 1

Main surgical technique of TDA. a Preoperative CT image showed the ampullary tumor protruded into duodenal lumen as a bulging. b Intraoperative photograph showed that local resection of the tumor started from the site of the 11 o’clock position. c Intraoperative photograph showed the circumferential resection of the tumor was about 5–10 mm from the edge of the tumor. d Intraoperative photograph showed the reconstructed ampullary region. T ampullary tumor; D duodenum; Ph pancreatic head; Apb ampullo-pancreatobiliary common duct; CBD common biliary duct; Pd pancreatic duct

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