looking for a replaced right hepatic artery arising from SMA. We continue dissection toward the right wall of the SMA in order to identify the superior and inferior Pancreaticoduodenal Artery. In case of suspicion of SMA involvement a fresh-frozen section exanimation of the arterial sheath could be performed. Conclusion: Our approach has many advantages in order to assess resectability of the tumour as detect peritoneal carcinomatosis, hepatic metastases and perform para-aortic lymph nodes sampling and SMA approach. This avoids unnecessary laparotomy for patients not suitable for surgery and giving a prompt access to chemotherapy to advantages of laparoscopy.

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