The jejunal stump is everted for 3 cm, by suturing the jejunal free margin loosely to a point at the jejunal loop 6 cm from the cut edge. This leaves the mucosa exposed for excising. Mucosectomy of the everted part of the jejunum is applied. The pancreatic remnant is sutured to the mucosal margin of the jejunum in a circulair fashion.
Binding pancreatojejunostomy
- Buc E, Flamein R, Golffier C, et al. Peng’s binding pancreaticojejunostomy after pancreaticoduodenectomy: a French prospective study. J Gastrointest Surg. 2010;14:705-710.
- Casadei R, Ricci C, Silvestri S, et al. Peng’s binding pancreaticojejunostomy after pancreaticoduodenectomy. An Italian, prospective, dual-institution study. Pancreatology. 2013;13:305-309.
- Kim JM, Hong JB, Shin WY, Choe YM, Lee GY, Ahn SI. Preliminary results of binding pancreaticojejunostomy. Korean J Hepatobiliary Pancreat Surg. 2014;18:21-25.
- Maggiori L, Sauvanet A, Nagarajan G, Dokmak S, Aussilhou B, Belghiti J. Binding versus conventional pancreaticojejunostomy after pancreaticoduodenectomy: a case-matched study. J Gastrointest Surg. 2010;14:1395-1400.
- Peng S, Mou Y, Cai X, Peng C. Binding pancreaticojejunostomy is a new technique to minimize leakage. Am J Surg. 2002;183:283-285.
- Peng SY, Mou YP, Liu YB, et al. Binding pancreaticojejunostomy: 150 consecutive cases without leakage. J Gastrointest Surg. 2003;7:898-900.
- Peng SY, Wang JW, Hong de F, Liu YB, Wang YF. Binding pancreaticoenteric anastomosis: from binding pancreaticojejunostomy to binding pancreaticogastrostomy. Updates Surg. 2011;63:69-74.
- Peng SY, Wang JW, Lau WY, et al. Conventional versus binding pancreaticojejunostomy after pancreaticoduodenectomy: a prospective randomized trial. Ann Surg. 2007;245:692-698.
- Peng SY, Wang JW, Li JT, Mou YP, Liu YB, Cai XJ. Binding pancreaticojejunostomy–a safe and reliable anastomosis procedure. HPB (Oxford). 2004;6:154-160.
Type II binding pancreatojejunostomy