The seromuscular layer of the posterior wall of the stomach is excised for a diameter that matches the diameter of the pancreatic stump. A single purse-string suture was placed around the seromuscular excision. Two traction sutures are placed on both sides of the pancreatic parenchyma next to the main pancreatic duct.
- Wang X-, Wu X-, Cai Y, et al. Single purse-string duct to mucosa pancreaticogastrostomy: A safe, easy, and useful technique after pancreaticoduodenectomy. J Am Coll Surg. 2015;220:e41-e48.