- Many options to do this - some options as below - at my institution we use the Blumgart technique
- Duct-to-mucosa anastomosis
- Direct suturing of the pancreatic duct to the jejunal mucosa
- Requires a dilated pancreatic duct (>3mm) for easier suturing
- Fine interrupted or continuous absorbable monofilament sutures (6-0 or 5-0)
- Dunking technique
- Pancreatic stump is invaginated into the jejunum → seromuscular jejunal sutures placed around pancreas to secure
- Does not require duct identification
- Blumgart technique
- Combines duct-to-mucosa anastomosis with transpancreatic U-sutures to anchor pancreatic remnant to seromuscular jejunum