Order of anastomosis in Whipple's procedure:
High-Yield Explanation
Tumor position Procedure Head (malignant) Pylorus preserving Whipple's procedure Head (benign) Enucleation Body & Tail Distal pancreatectomy. Whipple's procedure: Pancreaticojejunostomy, Hepaticojejunostomy Gastrojejunostomy Pylorus preserving Whipple's procedure: Pancreaticojejunostomy, Hepaticojejunostomy, Gastrojejunostomy, Duodenojejunostomy. Maxium risk of leak occurs from Pancreaticojejunostomy > Gastrojejunostomy > Hepaticojejunostomy.