Modified binding pancreaticogastrostomy vs modified Blumgart pancreaticojejunostomy after laparoscopic pancreaticoduodenectomy for pancreatic or periampullary tumors

Figure 2 Steps of modified Blumgart pancreaticojejunostomy. A: The 26 mm ½ circle round body needle of 3-0 polypropylene suture is straightened to facilitate the placement of transpancreatic suture; B: One transpancreatic U suture is taken on either side of the pancreatic duct, and the sutures were held with bulldog clamps; C: 8 o’clock duct to mucosa suture taken with the needle moving in-out direction in the ductal end; D: The pancreatic duct stent is placed after ligating the 6 and 8 o’clock sutures; E: Completion of duct to mucosa sutures; F: Transpancreatic U suture is tied to wrap the pancreatic cut edge with the jejunum.