The pancreatic capsule is anastomosed to the seromuscular layer of the jejunal wall posteriorly, 1-1.5 cm away from the pancreatic cut end. A full-thickness incision is made in the wall of the jejunum, with a size comparable to the diameter of the main pancreatic duct or with a size that matches the diameter of the pancreatic stump.
Suspension pancreatic-duct-jejunum end-to-side continuous suture (SPDJCS) pancreatojejunostomy
- The pancreatic capsule is anastomosed to the seromuscular layer of the jejunal wall posteriorly, 1-1.5 cm away from the pancreatic cut end.
- A full-thickness incision is made in the wall of the jejunum, with a size comparable to the diameter of the main pancreatic duct or with a size that matches the diameter of the pancreatic stump.
- The posterior cut end of the pancreas is continuously sutured to the posterior seromuscular layer (or seromuscular cut edge) of the jejunum. The posterior wall of the pancreatic duct and jejunal incision were included in the suture-row.
- In a same fashion, an anterior suture-row is continuously performed between the cut end of the pancreas and the seromuscular layer (or seromuscular cut edge) of the jejunum, again including the anterior wall of the pancreatic duct. The two suture-threads of the anterior and posterior inner suture-lines are tied together.
- The outer suture-row is completed anteriorly, by anastomosing the anterior pancreatic capsule to the anterior seromuscular layer of the jejunal wall, 1-1.5 cm away from the pancreatic cut margin.
- Dong K, Xiong W, Yu X-, Gu C. Clinical study on suspension pancreatic-duct-jejunum end-to-side continuous suture anastomosis in pancreaticoduodenectomy. Chin Med Sci J. 2013;28:34-38.
