Figure 1.
Reinforcement on duodenal stump using laparoscopic single purse-string suture. (A) Place a seromuscular purse-string suture on the duodenum wall 1.0–1.5 cm away from the duodenal stump using 3–0 single-strand absorbable suture; (B) Place a knot before tightening the purse-string suture; (C) Push the duodenal stump into the purse-string suture using laparoscopic needle holding or grasping forceps; (D) Tighten the knot after the duodenal stump into the purse-string suture totally; (E) Reinforce the knots of purse-string suture with 4–5 knots; (F) The photo of reinforcement finished.