This document describes the steps of a surgical procedure involving the duodenum, pancreas, stomach, and other abdominal organs. Key steps include:
1) Kocherization to mobilize the duodenum and expose surrounding structures.
2) Bursectomy and dissection of surrounding tissues to further expose vessels.
3) Division of vessels including the right gastric and gastroduodenal arteries.
4) Transection of the duodenum and dissection of the pancreas and surrounding lymph nodes.
5) Distal pancreatectomy and esophagojejunostomy to reconstruct the digestive tract.
6. Exposure of the Gastro-colic Trunk Middle colic V. Acc. rt. colic V. Rt. gastro-epiploic V. Ant. sup. panc. duod. V. Sup. mesenteric V. Gastro-colic trunk
27. Completion of No. 14v Dissection Sup. mesenteric V. Acc. rt. colic V. Ant. sup. panc. duod. V. Middle colic V. Rt. gastro-epiploic V. stump Tape on the gastro-colic trunk