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Schematic line diagram showing placement of the various ostomies along with the steps of the procedure and the order in which they are performed. Step 1: kocherization of the duodenum. Step 2: repair of the perforation. Step 3: cholecystectomy and insertion of the C-tube (6 Fr) into the common bile duct via the cystic duct. Step 4: creation of a retrograde tube duodenostomy. Step 5: creation of a feeding jejunostomy.
