loisdaamen2017-08-16T15:26:53+02:00Technique duct-to-mucosa, Technique two-layered duct-to-mucosa end-to-side pancreatojejunostomy|
An incision is made in the seromuscular layer of the jejunal wall, comparable with the size of the pancreatic stump. Sutures are placed between the posterior edge of the seromuscular jejunal incision and the posterior pancreatic capsule to form the posterior part of the outer suture-row. […]
loisdaamen2017-08-16T15:25:37+02:00Technique two-layered duct-to-mucosa end-to-side pancreatojejunostomy|
The pancreatic capsule is sutured to the seromuscular wall of the jejunum posteriorly, about 1 cm away from the pancreatic cut end. A small hole, with a diameter that matches the diameter of the main pancreatic duct, is made through the full-thickness of the jejunal wall, opposite to the pancreatic duct. […]
loisdaamen2017-08-16T15:25:13+02:00Technique two-layered duct-to-mucosa end-to-side pancreatojejunostomy|
The pancreatic capsule is anastomosed to the seromuscular layer of the jejunal wall posteriorly, 1-1.5 cm away from the pancreatic cut end. A full-thickness incision is made in the wall of the jejunum, with a size comparable to the diameter of the main pancreatic duct or with a size that matches the diameter of the pancreatic stump. […]
loisdaamen2017-08-16T15:24:24+02:00Technique two-layered duct-to-mucosa end-to-side pancreatojejunostomy|
The seromuscular layer of the jejunum is incised with a width comparable to the diameter of the pancreatic remnant. A purse-string suture is performed in the mucosa at the centre of the seromuscular incision. A stent tube is placed in the main pancreatic duct and fixed with a stay suture; the other tip of the tube is introduced into the jejunal lumen through the mucosa in the middle of the preplaced mucosal purse-string suture and secured by ligating the purse-string. […]
loisdaamen2017-08-16T15:23:41+02:00Technique two-layered duct-to-mucosa end-to-side pancreatojejunostomy|
The pair watch suturing technique contains a precise way of accomplishing a duct-to-mucosa pancreatojejunostomy, by imaging the faces of a pair of wristwatches on the jejunal hole and the main pancreatic duct during the anastomosis procedure. A small opening is made through the full-thickness of the jejunal wall, opposite the main pancreatic duct, with a size that matches the diameter of the pancreatic duct. […]
loisdaamen2017-08-16T15:23:05+02:00Technique two-layered duct-to-mucosa end-to-side pancreatojejunostomy|
A small incision in made through the full-thickness of the jejunal wall, with the same diameter as the main pancreatic duct. An inner suture-row is circumferentially performed with 3-4 sutures, placed between the main pancreatic duct an the full-thickness of the jejunal wall. […]
loisdaamen2020-04-09T14:06:44+02:00Technique duct-to-mucosa, Technique two-layered duct-to-mucosa end-to-side pancreatojejunostomy|
An opening is made in the seromuscular side wall of the jejunum, with a size similar to the diameter of the pancreas. The Blumgart anastomosis is constructed by four to six transpancreatic U-sutures: two to three on each side of the main pancreatic duct. Suture-threads with a needle on both ends are used. […]
loisdaamen2017-08-16T15:21:01+02:00Technique two-layered duct-to-mucosa end-to-side pancreatojejunostomy|
An outer, posterior suture-row is performed between the outer 2/3rd of the radius of the cut pancreatic gland and the seromuscular layer of the jejunal wall posteriorly. A small hole of 2-3 mm in diameter is made through the full-thickness of the jejunal wall, opposite the main pancreatic duct. The jejunal mucosa is everted in all directions and anchored to the seromuscular wall around the new-formed opening in the jejunum, using four stitches. […]
loisdaamen2017-08-16T15:20:28+02:00Technique two-layered duct-to-mucosa end-to-side pancreatojejunostomy|
A posterior outer suture-row is performed between the capsule of the pancreatic stump and the seromuscular layer of the jejunum posteriorly. Opposite to the main pancreatic duct, a full-thickness incision with a length of 1 cm is made in the jejunal wall. The cut surface of the pancreatic remnant is anastomosed to the seromuscular edges of the new-formed jejunal opening. […]
loisdaamen2017-08-16T15:19:37+02:00Technique two-layered duct-to-mucosa end-to-side pancreatojejunostomy|
Before the pancreatojejunal anastomosis is started, the pancreatic stump is ‘closed’. For this procedure, a stent tube is placed into the main pancreatic duct, and the cut surface of the pancreatic stump is shaped like a ‘fish-mouth’. The two lips of the fish-mouth are sutured together, closing the cut end of the pancreas, with exclusion of the pancreatic duct. […]
