Fig. 4

Intraoperative photograph and surgical schematic illustrations in the second-stage operation. a The left branch of the 4th jejunal artery was used as a feeder to the afferent loop, and the mesentery was incised to extend the elevation distance. b The jejunum was elevated approximately 150 cm by the presternal route, and the 5th jejunal artery and right internal thoracic artery were vaso-anastomosed. c Surgical specimen of the cecum