A stent is inserted into the main pancreatic duct and fixed with 2 sutures; these sutures are preserved. A 10-gauge intravenous catheter is passed through the anterior and posterior walls of the jejunum. Through this catheter, the pancreatic stent is introduced and the main pancreatic duct is invaginated into the jejunal lumen for about 1 cm.
- Fujino Y, Suzuki Y, Matsumoto I, et al. Long-term assessments after pancreaticoduodenectomy with pancreatic duct invagination anastomosis. Surg Today. 2007;37:860-866.
- Kamoda Y, Fujino Y, Matsumoto I, Shinzeki M, Sakai T, Kuroda Y. Usefulness of performing a pancreaticojejunostomy with an internal stent after a pancreatoduodenectomy. Surg Today. 2008;38:524-528.
- Suzuki Y, Fujino Y, Tanioka Y, et al. Selection of pancreaticojejunostomy techniques according to pancreatic texture and duct size. Arch Surg. 2002;137:1044-7; discussion 1048.