Distinguishing between parenchymal and anastomotic leakage at duct-to-mucosa pancreatic reconstruction in pancreaticoduodenectomy

Figure 1 PJ reconstruction of pancreatic remnant after pancreaticoduodenectomy. Posterior layer with interrupted 3-0 silk sutures approximating pancreatic parenchyma to jejunal serosa. Arrow shows ongoing duct-to-mucosa anastomosis with stent inside lumen. Once the duct-to-mucosa anastomosis is completed, anterior of parenchyma to jejunal serosa approximation is done.