The pancreatic capsule is sutured to the seromuscular wall of the jejunum posteriorly, about 1 cm away from the pancreatic cut end. A small hole, with a diameter that matches the diameter of the main pancreatic duct, is made through the full-thickness of the jejunal wall, opposite to the pancreatic duct.
- Zhang T, Wang X, Huo Z, et al. Shen’s whole-layer tightly appressed anastomosis technique for duct-to-mucosa pancreaticojejunostomy in pancreaticoduodenectomy. Med Sci Monit. 2016;22:540-548.