Pancreaticojejunostomy, hepaticojejunostomy and double Roux-en-Y digestive tract reconstruction for benign pancreatic diseases

Figure 4 Fifteen centimeters of the jejunum to the Treitz ligament was transected with side closures. A: A retrocolic end-to-side pancreaticojejunostomy was then performed using a distal jejunal limb. At 20 cm distal to the pancreaticojejunostomy, the jejunum was interrupted with side closures. Twenty centimeters of the jejunum to the pancreaticojejunostomy was transected with side closures. An antecolic end-to-side hepaticojejunostomy was then performed using a distal jejunal limb. Then the first enteroenterostomy was performed at 20 cm to the hepaticojejunostomy using a distal jejunal limb to the pancreaticojejunostomy and the second enteroenterostomy was performed at 20 cm to the first enteroenterostomy using a distal jejunal limb to the Treitz ligament (curved arrow in A: jejunal limb used for hepaticojejunostomy; arrow in A: first enteroenterostomy; triangular arrow in A: second enteroenterostomy); B: Schematic diagram of the pancreaticojejunostomy, hepaticojejunostomy and double Roux-en-Y digestive tract reconstruction.