Two-layered technique 1

A gastrotomy with a size similar to the diameter of the pancreas is made in the mid-body posterior wall of the stomach. The pancreatic remnant is invaginated into the gastric lumen for 1-3 cm.

Two-layered invagination pancreatogastrostomy

  1. A gastrotomy with a size similar to the diameter of the pancreas is made in the mid-body posterior wall of the stomach.
  2. The pancreatic remnant is invaginated into the gastric lumen for 1-3 cm.
  3. The pancreatic stump is anastomosed to the posterior wall of the stomach with two-layer sutures: the outer layer is performed between the pancreatic capsule and seromuscular layer of the gastric wall; the inner layer is placed between the pancreatic cut margin and the full-thickness of the stomach wall.

  • Fang W-, Su C-, Shyr Y-, et al. Functional and morphological changes in pancreatic remnant after pancreaticoduodenectomy. Pancreas. 2007;35:361-365.
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  • Mackie JA, Rhoads JE, Park CD. Pancreaticogastrostomy: a further evaluation. Ann Surg. 1975;181:541-545.
  • Sledzinski Z, Kostro JZ, Zadrozny D, Pirski I, Lukianski M, Glowacki J. Results of pancreaticogastrostomy after pancreaticoduodenectomy in 159 consecutive cases. Pancreatology. 2008;8:36-41.