A seromuscular incision is made in the posterior wall of the stomach, with a size similar to the diameter of the pancreatic stump; the mucosa is remained intact at first. The first hemstitch suture is applied in the seromuscular layer of the gastric wall around the seromuscular incision.
- Zhu F, Wang M, Wang X, et al. Modified technique of pancreaticogastrostomy for soft pancreas with two continuous hemstitch sutures: a single-center prospective study. J Gastrointest Surg. 2013;17:1306-1311.