Fig. 2

Surgical procedure to the previous PJ anastomosis site. a An approximately 10-cm midline incision just above the previous pancreaticojejunal (PJ) anastomosis site is created. b Intra-abdominal cavity is carefully and minimally dissected, as required, toward the previous PJ anastomosis site using a drain placed in the fistula tract as a guide. c Pseudocyst is situated between the pancreatic stump and Roux-limb. d The stump of the main pancreatic duct is detected within the pseudocyst