With three overlapping U-sutures
Mucosectomy is performed on the distal 2 cm of the jejunal stump before the anastomotic procedure is started. The pancreatic capsule is anchored to the full-thickness of the jejunal wall. To do so, two sutures are applied to the superior and inferior margins of the pancreatic capsule, 1.5 cm away from the cut end of the pancreas. […]
Binding pancreaticojejunostomy
The jejunal stump is everted for 3 cm, by suturing the jejunal free margin loosely to a point at the jejunal loop 6 cm from the cut edge. This leaves the mucosa exposed for excising. Mucosectomy of the everted part of the jejunum is applied. The pancreatic remnant is sutured to the mucosal margin of the jejunum in a circulair fashion. […]