One-layered technique

A posterior row of stitches is placed between the parenchyma of the pancreatic remnant, about 1-1.5cm from the cut surface, and the seromuscular layer of the jejunum. After tying the knots of the posterior suture-row, an opening in the jejunum is made comparable to the size of the pancreatic remnant.

One-layered invagination end-to-side pancreatojejunostomy

  1. A posterior row of stitches is placed between the parenchyma of the pancreatic remnant, about 1-1.5cm from the cut surface, and the seromuscular layer of the jejunum.
  2. After tying the knots of the posterior suture-row, an opening in the jejunum is made comparable to the size of the pancreatic remnant.
  3. The pancreas is invaginated into the jejunum by pulling the free edge of the jejunal opening onto the pancreatic remnant.
  4. The anastomosis is completed by an anterior suture-row between the pancreatic parenchyma and the seromuscular jejunal wall, about 0.5 cm from the opening.

  • Kelemen D, Kaposztas Z, Horvath OP. A modified technique of pancreatojejunostomy. Hepatogastroenterology. 2008;55:722-724.