Safety and feasibility of modified duct-to-mucosa pancreaticojejunostomy during pancreatoduodenectomy: A retrospective cohort study

Figure 1 Schematic diagram of end-to-side invagination pancreaticojejunostomy. A: Continuous suturing was performed between the rear side of the pancreatic stump (approximately 1.5 cm from its edge) and the jejunal seromuscular layer with a 3-0 Prolene slip line; B: Suture of the pancreatic margin and seromuscular layer of the jejunum intermittently; C: The pancreatic stump was inserted into the jejunum, and the anterior side of the pancreas and jejunal seromuscular layer were continuously sutured.

Figure 2 Schematic diagram of modified duct-to-mucosa pancreaticojejunostomy. A: Perform continuous suturing between the rear edge of the pancreatic stump and jejunal seromuscular layer with a 3-0 Prolene suture; B: Sew 3-4 stiches continuously in the posterior wall of the pancreatic duct and the jejunal mucosa with 4-0 Prolene sutures; C: Continuous suturing was performed between the front edge of the pancreatic stump and the whole layer of the jejunum.