A purse-string suture is applied through the main pancreatic duct and the peri-ductal pancreatic parenchyma, after which the suture is brought to outside via the ductal lumen. A stent tube is inserted into the main pancreatic duct and anchored by tying the purse-string suture. Care is taken to avoid occlusion of the pancreatic duct.
- Jiang C, Wang M, Xu Q, Wu X, Yu D, Ding Y. A modified technique for end-to-side pancreaticojejunostomy by purse-string suture. J Surg Oncol. 2011;104:852-856.