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Biliary-intestinal anastomosis, as an important part of digestive tract reconstruction, cannot be said to be very difficult, but it is certainly very important.
As for digestive tract reconstruction, the most challenging surgery is arguably the pancreas-gastric anastomosis, and the pancreaticoduodenectomy is one of the most difficult surgeries.
The difficulty of digestive tract reconstruction actually revolves around the small intestine!
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