One-layered invagination end-to-side pancreatojejunostomy

One-layered invagination end-to-side pancreatojejunostomy 2017-01-23T22:11:55+00:00

One-layered technique

A posterior row of stitches is placed between the parenchyma of the pancreatic remnant, about 1-1.5cm from the cut surface, and the seromuscular layer of the jejunum. After tying the knots of the posterior suture-row, an opening in the jejunum […]

Without stitches in the pancreatic stump

A full-thickness incision is made in the jejunal side wall with a size similar to the diameter of the pancreas. A purse-string suture is applied in the seromuscular layer around the new-formed opening in the jejunum. Four […]

Purse-string suturing technique

A purse-string suture is applied through the main pancreatic duct and the peri-ductal pancreatic parenchyma, after which the suture is brought to outside via the ductal lumen. A stent tube is inserted into the main pancreatic duct and […]

Inverted mattress suturing technique

The jejunal sidewall is opened for a size similar to the diameter of the pancreatic stump. A total of five to six U-sutures are applied following an inverted mattress suturing technique. The first three to four sutures go […]

Vertical mattress suturing technique

An incision is made in the sidewall of the jejunal loop, with a size matching the diameter of the pancreatic cut surface. The one-layered invagination end-to-side pancreatojejunostomy is performed using a mattress suturing technique. To this purpose, transpancreatic […]