INTRODUCTION: Reflecting the resected portion of the proximal jejunum behind the mesenteric vessels during a pancreaticoduodenectomy (Whipple) procedure can be a challenging maneuver. METHODS: We describe a simple technique employing a penrose drain that is sutured to the resected "specimen" portion of the jejunum and then pulling it behind the mesenteric vessels. RESULTS: Seven patients underwent this procedure over a 2-month period without difficulties. CONCLUSIONS: This simple technique helps simplify one of the key maneuvers in performing a Whipple procedure.
INTRODUCTION: Reflecting the resected portion of the proximal jejunum behind the mesenteric vessels during a pancreaticoduodenectomy (Whipple) procedure can be a challenging maneuver. METHODS: We describe a simple technique employing a penrose drain that is sutured to the resected "specimen" portion of the jejunum and then pulling it behind the mesenteric vessels. RESULTS: Seven patients underwent this procedure over a 2-month period without difficulties. CONCLUSIONS: This simple technique helps simplify one of the key maneuvers in performing a Whipple procedure.