The pancreatic remnant is invaginated into the jejunal loop for 2-4 cm and sutured all around. Stitches are placed between the seromuscular coat of the jejunum and the pancreatic capsule. For invagination of the pancreatic stump, two traction sutures are placed across the superior and inferior cut ends.
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- Chen HW, Lai EC, Su SY, Cai YF, Zhen ZJ, Lau WY. Modified technique of pancreaticojejunal anastomosis with invagination following pancreaticoduodenectomy: a cohort study. World J Surg. 2008;32:2695-2700.
- Brewer MS. Management of the pancreatic stump during the Whipple operation. Am J Surg. 1996;171:438
- Dong X, Zhang B, Kang MX, Chen Y, Guo QQ, Wu YL. Analysis of pancreatic fistula according to the International Study Group on Pancreatic Fistula classification scheme for 294 patients who underwent pancreaticoduodenectomy in a single center. Pancreas. 2011;40:222-228.