Before transection of the pancreas, two hemostatic sutures are placed cranially and caudally within the pancreatic parenchyma. After resection of the specimen, the anastomosis is started, using a double armed suture. For the first invagination stitch, the needle passed through the entire pancreatic remnant from anterior to posterior, 1 cm away from the cutting edge, cranially from the main pancreatic duct.
Transpancreatic invagination suturing technique
- Giudici F, Pesi B, Zambonin D, Scaringi S, Bechi P, Batignani G. Safer intestinal invagination for a solid pancreatico-jejunal anastomosis in presence of a soft texture pancreatic remnant and non-dilated duct. Hepatobiliary Pancreat Dis Int. 2016;15:324-28.