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. 2014 Nov 29;12:363. doi: 10.1186/1477-7819-12-363

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© Cai et al.; licensee BioMed Central Ltd. 2014

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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Intracorporeal side-to-side jejunojejunostomy. (A) Transection of the jejunum with an endoscopic linear stapler. (B) Approximation of left and right hepatic ducts and distal limb using a draft line. (C) A 5 mm wide incision at the antimesenteric side of the jejunum. (D) Long stay sutures to lift the corners at the 3 o’clock and 9 o’clock positions of the anastomotic stoma. (E,F) Suture of the posterior wall using interrupted sutures (G) Suture of the anterior wall using a continuous suture. (H) Strengthening of the seromuscular layer with interrupted sutures to reduce tension. LHD, left hepatic duct; RHD, right hepatic duct.