Using two transpancreatic sutures with buttresses

2017-08-16T15:07:02+02:00Technique pancreatogastrostomy-using-a-transgastric-approach|

A gastrotomy is made in the posterior wall of the stomach, with a size about 3/4 the width of the pancreatic remnant. Two traction sutures are placed on both ends of the pancreas. An anterior gastrotomy is performed, just above the posterior incision. Using the two traction sutures, the pancreatic stump is invaginated into the gastric lumen, through the posterior gastrotomy. […]