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Streamlined and modular surgical process for LPD. (A) Descent of the hepatic flexure of the colon. (B) Kocker procedure. (C) Amputation of the distal stomach. (D) Amputation of the pancreas. (E) Amputation of the hepatoduodenal ligament and bile duct. (F) Amputation of the jejunum. (G) Amputation of the uncinate process of the pancreas. (H) Pancreaticoenterostomy. (I) Biliary enterostomy. (J) Gastrointestinal anastomosis. LPD = laparoscopic pancreaticoduodenectomy.
