A small opening is made in the jejunal wall, with a size similar to the diameter of the main pancreatic duct. Suture threads with a needle on both sides are used to perform the anastomosis. The sutures are placed one by one, starting with the posterior suture-row. From inside the lumen of the main pancreatic duct, the needle is passed through the posterior pancreatic parenchyma, exiting the pancreas at the posterior side, approximately 0.5 cm away from the cut margin. […]

An opening is made in the jejunal wall, with a diameter that matches the diameter of the pancreatic stump. Starting at the anterior side of the pancreas, 6-8 sutures are placed one by one, penetrating the full-thickness of the pancreatic parenchyma and exiting the pancreas posteriorly.

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Only a minimal stab wound is made in the jejunal wall, with a size similar to the diameter of the main pancreatic duct. A stent-tube is inserted in the main pancreatic duct at one side; the other side of the tube is pulled through the jejunum via the new-made opening, and extra-abdominally through a second-formed opening on the other side of the jejunum.

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An opening is made in the jejunal wall, with a diameter that matches the diameter of the pancreas. A single layer of stitches is performed between the pancreatic stump and the new-formed opening in the jejunal wall.

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