Figure 2.

The entire process of performing an enucleation with Roux-en-Y pancreaticojejunostomy reconstruction. a/a1 Intraoperative view of an intraductal papillary mucinous neoplasm that was adjacent to the MPD and located in the neck of the pancreas; b/b1 The tumor had been enucleated from the parenchyma of the pancreas; the splenoportal junction and small splenic arterial and venous branches have been divided. c/c1 After enucleation of the pancreatic segment containing the tumor, the wound surface of the pancreas was sutured to achieve hemostasis with interrupted nonabsorbable Lembert sutures. The wound surface of the pancreas was anastomosed to a Roux-en-Y loop of the jejunum with a parenchyma-to-mucosa technique