The jejunal sidewall is opened for a size similar to the diameter of the pancreatic stump. A total of five to six U-sutures are applied following an inverted mattress suturing technique. The first three to four sutures go through the full-thickness of the posterior jejunal wall, from outside to inside, and through the seromuscular wall of the jejunum back to outside, inverting the seromuscular coat of the jejunum.
- Kwon HJ, Ha HT, Choi YY, Kim SG. The effects of the end-to-side inverted mattress pancreaticojejunostomy on postoperative pancreatic fistula: a single surgeon’s experience. Ann Surg Treat Res. 2015;89:61-67.