Pancreaticojejuno Anastomosis after Pancreaticoduodenectomy: Brief Pathophysiological Considerations for a Rational Surgical Choice

Figure 1

Roux-en-Y pancreaticojejuno anastomosis: pledgetsupported Ticron stitches between the seromuscularis of the jejunum and the pancreatic capsule, before the pancreatic invagination. A small catheter is inserted in the main pancreatic duct. On the right side, anterior aspect of pancreaticojejunal anastomosis after application of TachoSil.