Local resection of the head of the pancreas combined with longitudinal pancreaticojejunostomy: Operative results and procedures in chronic pancreatitis

The steps in the performance of local resection of the head of the pancreas combined with longitudinal pancreaticojejunostomy are described. These include a wide Kocher maneuver freeing up the superior mesenteric vein below the neck of the pancreas from the anterior surface of the head of the pancreas and uncinate process, opening the lesser sac, measurements of pressure in the main pancreatic duct, unroofing and decompressing the ducts of Wirsung, Santorini, and duct to uncinate along with their tributary ducts.