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Cut the fibrous connection between the posterior surface of the pancreas and posterior abdominal wall. Lift the spleen and reflect the pancreas from the posterior abdominal wall except where the head of the pancreas attaches to the duodenum. The duodenum and attached head of the pancreas may be mobilized as a unit. Examine the structures that lie immediately posterior to the pancreas.Trace the splenic vein as it exits the spleen at its hilum and runs posterior to the tail, body, neck and head of the pancreas.
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