Anastomotic technique, gastrointestinal, end-to-side, open, continuous hand suture, double layer

  1. Preparing the intestinal wall

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    The anastomosis technique is demonstrated here by means of a duodenojejunostomy during a pylorus-preserving Whipple procedure. The distal duodenum has already been divided with a linear stapler.

    First, skeletonize the duodenal wall in steps.

Intestinal suture step 1A - double-layered suture - posterior wall

Due to the short gastric mesentery, the anastomosis cannot be rotated. Therefore, a so-called non-r

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