The first layer of sutures exists of an approximation between the capsule of the pancreatic remnant and the jejunal serosa posteriorly. The seromuscular coat of the jejunum is incised for a length with the same size as the diameter of the pancreatic stump. The posterior second suture-row is performed between the pancreatic cut end and the extramucosal or seromuscular layer of the jejunum.
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