One-layered technique

An opening is made in the jejunal wall, with a diameter that matches the diameter of the pancreas. A single layer of stitches is performed between the pancreatic stump and the new-formed opening in the jejunal wall.

One-layered end-to-side pancreatojejunostomy

  1. An opening is made in the jejunal wall, with a diameter that matches the diameter of the pancreas.
  2. A single layer of stitches is performed between the pancreatic stump and the new-formed opening in the jejunal wall.

  • Child CG. Carcinoma of the Duodenum. Ann Surg. 1943;118:838-842.
  • Bassi C, Falconi M, Molinari E, et al. Duct-to-mucosa versus end-to-side pancreaticojejunostomy reconstruction after pancreaticoduodenectomy: results of a prospective randomized trial. Surgery. 2003;134:766-771.
  • Fernandez-Cruz L. Pancreaticojejunostomy versus pancreaticogastrostomy. J Hepatobiliary Pancreat Sci. 2011.