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’ […]

A stent is inserted into the main pancreatic duct and fixed with 2 sutures; these sutures are preserved. A 10-gauge intravenous catheter is passed through the anterior and posterior walls of the jejunum. Through this catheter, the pancreatic stent is introduced and the main pancreatic duct is invaginated into the jejunal lumen for about 1 cm. […]