Clinical Application of a Modified Double Purse-String Continuous Suture Technique for Pancreaticojejunostomy: Reliable for Laparoscopic Surgery and Small Size Main Pancreatic Duct

Figure 2

Video screenshots of PJ under the laparoscope. (a). Management of the pancreatic stump. (b) The needle penetrated the support tube. (c) A purse-string suturing around the MPD was completed on the pancreatic stump. (d) The posterior layer of the anastomosis was completed. (e, f) A small hole was made on the jejunal limb, and the free end of the support tube was inserted into it. The purse-string suturing on the jejunal limb combining with intersecting sutures behind the stent formed a shape similar to a figure eight. (g) The anterior layer of the anastomosis was completed. (h) The whole anastomosis was completed.

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