From outside the anterior pancreatic capsule, 1-2 cm away from the cut end, 3-4 sutures pass straight through the anterior pancreatic parenchyma to inside the lumen of the main pancreatic duct. These sutures are not tied, but kept separately. A small incision, with a size comparable to the size of the pancreatic duct, is made in the full-thickness of the proximal jejunal wall, about 4-5 cm away from the jejunum stump.
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- Marangoni G, Morris-Stiff G, Deshmukh S, Hakeem A, Smith AM. A modern approach to teaching pancreatic surgery: stepwise pancreatoduodenectomy for trainees. J Gastrointest Surg. 2012;16:1597-1604.