Fig. 4

Schemes of robotic pancreaticojejunostomy with the modified Blumgart method. a Three U-sutures are established with 3-0 polypropylene sutures that are pierced through the pancreatic stump from front to back and reverted from back to front after the jejunal serosa was taken. b These U-sutures are tied gently to the pancreas. c The pancreatic duct-to-jejunum mucosa anastomosis was fashioned with interrupted 5-0 PDS sutures. A lost stent can be inserted into the main pancreatic duct. d The anterior wall of the jejunum is bitten with U-sutures. e The pancreatic stump is completely covered