NMS. Casos Clínicos

194

Part II ♦ Specific Disorders

Jejunum anastomosed to: 1. Pancreas 2. Common hepatic duct 3. Proximal duodenum or stomach

2

1

3

A

Portal vein

Aorta

SMV Figure 7-19: Pancreaticoduodenectomy. A. Standard reconstruction after a pancreaticoduodenectomy, with an end-to-side pancreaticojejunostomy, an end-to-side hepatic jejunostomy, and a retro-colic and end-to-side duodenojejunostomy. B. Suture closure of the pancreatic remnant after distal pancreatectomy. (From DeVita VT, Lawrence TS, Rosenberg SA. Colon and Other Gastrointestinal Cancers: Principles & Practice of Oncology , 10th ed. Wolters Kluwer Health; 2016, Fig. 41-5.) SAMPLE B