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

Figure 3

Schematic diagram of PJ. (a) The posterior layer of the sutures was tightened, and the free end of the support tube was inserted into the hole. Then, purse-string suturing was completed on the jejunal limb. (b) The anterior layer of the anastomosis was completed. (c). The anterior layer of the sutures was tightened, and the whole anastomosis was completed. (d) A schematic diagram of the suturing of the whole anastomosis.

(a)

(b)

(c)

(d)