The cut edges of the pancreas and the jejunum are sutured together circumferentially, forming the inner suture-line. The outer suture-line is performed between the surfaces of the pancreatic capsule and the seromuscular wall of the jejunum, a few centimeters away from the cut ends, causing invertion of the jejunal wall and invagination of the pancreatic stump into the inverted jejunum.

Two-layered invagination end-to-end pancreatojejunostomy

  1. The cut edges of the pancreas and the jejunum are sutured together circumferentially, forming the inner suture-line.
  2. The outer suture-line is performed between the surfaces of the pancreatic capsule and the seromuscular wall of the jejunum, a few centimeters away from the cut ends, causing invertion of the jejunal wall and invagination of the pancreatic stump into the inverted jejunum.

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