Fig. 3

Surgical procedure of the redo PJ anastomosis. a A 8-Fr pancreatic tube, trimmed approximately 3- cm in length, is placed within the main pancreatic duct (MPD) as a lost stent. b The pancreatic stump and Roux-limb are re-anastomosed end-to-side using 3–0 nonabsorbable single-layer interrupted sutures. c Every anastomotic suture passes through only two-thirds of the anterior side of the pancreatic stump instead of the full-thickness sutures as in the Blumgart anastomosis