Pancreatojejunostomy anastomosis, robotic pancreaticoduodenectomy

Start the pancreatojejunostomy anastomosis using interrupted 2-0 silk sutures passed through the pancreas gland and sewn to the seromuscular layer on the posterior side of the divided jejunum; the inner layer is duct-to-mucosa interrupted 5-0 monofilament absorbable sutures followed by completion of outer layer sewing silk sutures to the seromuscular layer of the anterior bowel.