A small transverse incision of about 5 mm is made in the full-thickness of the posterior gastric wall. Around the new-formed opening in the posterior wall of the stomach, a purse-string suture is placed; the distance between the purse-string suture and the incision is 1.5 times the distance between the main pancreatic duct and the edge of the pancreatic cut surface.
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- Kakita A, Yoshida M, Takahashi T. History of pancreaticojejunostomy in pancreaticoduodenectomy: development of a more reliable anastomosis technique. J Hepatobiliary Pancreat Surg. 2001;8:230-237
- Osman MM, Abd El Maksoud W. Evaluation of a new modification of pancreaticogastrostomy after pancreaticoduodenectomy: anastomosis of the pancreatic duct to the gastric mucosa with invagination of the pancreatic remnant end into the posterior gastric wall for patients with cancer head of pancreas and periampullary carcinoma in terms of postoperative pancreatic fistula formation. Int J Surg Oncol. 2014;2014:490386