A study comparing invagination versus duct-to-mucosa pancreaticojejunostomy shows similar long-term anastomotic patency and pancreatic function.

• Remnant pancreatic duct dilatation occurred in 18.6% of invagination and 9.8% of duct-to-mucosa patients, with no significant clinical impact.
• Cumulative incidences of benign stricture at 3 and 5 years were 9.3% and 19.9% for invagination, compared to 9.5% and 13.4% for duct-to-mucosa, indicating no difference.

Surgeons can consider either method for pancreatoduodenectomy, as both appear to yield comparable outcomes in the long term.