A small incision in made through the full-thickness of the jejunal wall, with the same diameter as the main pancreatic duct. An inner suture-row is circumferentially performed with 3-4 sutures, placed between the main pancreatic duct an the full-thickness of the jejunal wall.
- Oda T, Hashimoto S, Miyamoto R, et al. The Tight Adaptation at Pancreatic Anastomosis Without Parenchymal Laceration: An Institutional Experience in Introducing and Modifying the New Procedure. World J Surg. 2015;39:2014-2022.
- Satoi S, Toyokawa H, Yanagimoto H, et al. A new guideline to reduce postoperative morbidity after pancreaticoduodenectomy. Pancreas. 2008;37:128-133.
- Tajima Y, Kuroki T, Tsuneoka N, et al. Anatomy-specific pancreatic stump management to reduce the risk of pancreatic fistula after pancreatic head resection. World J Surg. 2009;33:2166-2176.