Fig. 8
A Following unsuccessful burial, a remedial procedure involves full-layer continuous suturing reinforcement of the duodenal stump. Partial damage to the muscular layer of the duodenal stump is observed at certain locations. B Incomplete Burial of the Duodenal Stump with Exposed Angle. C Controlling the duodenal stump to stay within the pouch, the assistant tightens the suture, enhancing the success rate of burial