The anastomosis between the pancreas and jejunum is performed using two layers of sutures posteriorly and one anterior suture-row. First, the outer posterior layer is performed by placing sutures between the capsule and some parenchyma of the pancreatic remnant and the seromuscular layer of the jejunal wall.
One-layered anteriorly and two-layered posteriorly invagination end-to-side pancreatojejunostomy
- The anastomosis between the pancreas and jejunum is performed using two layers of sutures posteriorly and one anterior suture-row.
- First, the outer posterior layer is performed by placing sutures between the capsule and some parenchyma of the pancreatic remnant and the seromuscular layer of the jejunal wall.
- An incision is made through the full-thickness of the jejunum with a size similar to the diameter of the pancreas.
- Stitches are placed between the jejunal mucosa and the pancreatic parenchyma to form a posterior inner suture-row.
- Anteriorly, a single layer of stitches is performed between the pancreatic capsule and parenchyma and the seromuscular wall of the jejunal loop. Herewith, the pancreatojejunostomy is completed.
- Testini M, Piccinni G, Greco L, et al. A modified technique of pancreaticojejunostomy after pancreatoduodenectomy: a preliminary experience. Updates Surg. 2011;63:287-291.
