Evaluation of a New Modification of Pancreaticogastrostomy after Pancreaticoduodenectomy: Anastomosis of the Pancreatic Duct to the Gastric Mucosa with Invagination of the Pancreatic Remnant End into the Posterior Gastric Wall for Patients with Cancer Head of Pancreas and Periampullary Carcinoma in terms of Postoperative Pancreatic Fistula Formation
Figure 4
A diagram showing steps of the procedure. (a) A purse string is performed around a 5 mm stab incision in the posterior wall of stomach; then four sutures are performed between the pancreatic duct and gastric mucosa. (b) Tightening duct to mucosa sutures. (c) Sutures are taken between pancreatic capsule and seromuscular layer of the stomach. (d) Invagination of the pancreatic remnant into posterior wall of the stomach and tightening of the purse string suture.
