Papillary-like main pancreatic duct invaginated

2017-08-16T15:17:33+02:00Technique duct invagination end-to-side-pancreatojejunostomy|

Before the anastomosis procedure is started, the pancreatic stump is prepared: the pancreatic cut surface is shaped like a ‘fish mouth’ and the pancreatic duct is protruded out of the stump for 6-8 mm. To do so, a 6-8 mm deep incision is performed circumferentially, 2-3 mm around the main duct, and the surrounding pancreatic parenchyma is removed. The cut end of the pancreas is closed with inverting sutures, excluding the protruded main pancreatic duct or so-called ‘papillary-like main pancreatic duct’ […]