Fig. 1

Surgical procedure of Simplified Blumgart Pancreaticojejunostomy. A The double U-shaped suture between the pancreatic parenchyma and the dorsal side of the jejunal seromuscular layer were performed at the superior and inferior side of the main pancreatic duct. B The continuous suture of the posterior semicircle of the duct-to-mucosa anastomosis. C The placement of pancreatic duct stent. D The continuous suture of the anterior semicircle of the duct-to-mucosa anastomosis. E Ties were made between the threads of the posterior semicircle and the anterior semicircle duct-to-mucosa anastomosis. And U shape suture were pulled under an appropriate tension and tied. F The interrupted suture at the jejunal ventral wall. G Schematic diagram when finishing the simplified PJ.