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1. 1. A small transverse incision of about 5 mm is made in the full-thickness of the posterior gastric wall.
   2. Around the new-formed opening in the posterior wall of the stomach, a purse-string suture is placed; the distance between the purse-string suture and the incision is 1.5 times the distance between the main pancreatic duct and the edge of the pancreatic cut surface.
   3. A duct-to-mucosa anastomosis was performed between the main pancreatic duct and the gastric mucosa to form the inner suture-row.
   4. An outer suture-line was carried out by placing four sutures between the pancreatic capsule, about 2 cm away from the cut edge of the pancreas, and the seromuscular layer of the posterior gastric wall.
   5. The formerly placed purse-string suture is tightened gently, causing invagination of the pancreas, until the posterior stomach wall is properly wrapped around the pancreatic stump. Care is […]