One-half layer pancreaticojejunostomy with the rear wall of the pancreas reinforced: A valuable anastomosis technique

Figure 2  U-shaped sutures of a pancreaticojejunostomy. A: One needle with 4-0 Gore thread is inserted through the anterior wall of the pancreas. The needle pierces through the pancreas and out from the rear wall with the same distance from the incisal margin. Then, suturing of the seromuscular layer of the jejunum loop continues along the direction of the intestine, which is approximately 1.5 cm beneath the anastomosis pore, and the distance is approximately 1/3 to 1/4 of the length of the pancreatic stump diameter. Finally, the needle pierces through the pancreas again from the rear wall to the anterior wall, ensuring that the needle point distance is approximately 1/3 to 1/4 of the pancreatic stump diameter; B: Photographic image of U-shape sutures.