Woman 82 years old underwent 2 years ago a pylorus-preserving pancreatoduodenectomy with gastric partition and pancreaticogastrostomy anastomosis for invasive IPMN main-duct variant. Pancreatic resection margins showed low-grade dysplasia. She developed recurrence in the pancreatic remnant. This video emphasizes the technical steps taken to maximize the opportunity to achieve free of disease following resection. With our technique distal pancreatic resection is performed en-block with the segment of the stomach involved in the pancreaticogastrostomy anastomosis. She made excellent postoperative progress and was discharged on the 8th postoperative day.