Pancreatic fistula after pancreaticoduodenectomy: A comparison between the two pancreaticojejunostomy methods for approximating the pancreatic parenchyma to the jejunal seromuscular layer: Interrupted vs continuous stitches

Figure 1 Continuous suture method for the outer layer of pancreaticojejunostomy. A: The posterior outer layer consisted of the remnant pancreatic parenchyma and the seromuscular layer of jejunum and continuous suture between these two was performed with 5-0 polypropylene (Prolene*, Ethicon, Somerville, NJ); B: The posterior inner layer consisted of the pancreatic duct and mucosa of the jejunum, and interrupted suture for duct-to-mucosa was performed with 5-0 polydioxanone (PDSTMII, Ethicon, Somerville, NJ); C: A silastic polyethylene tube was inserted into the pancreatic duct and external drainage was done; D: For anterior inner layer consisted of the pancreatic duct and mucosa of the jejunum, interrupted suture was performed; E: Continuous suture for anterior outer layer was performed.