Fig. 2

Steps of double layered end-to-end anastomosis with continuous manual suture to complete digestive tract reconstruction in TLDG (Video capture of anastomotic procedure and sketch of anastomosis). a The first absorbable barbed thread with single needle(Covidien VLOCL0614, 3-0) to continuous suture of sarcoplasmic layer of the posterior wall from the top to the bottom, and the needle was kept for standby. b The second absorbable barbed thread with single needle (Covidien VLOCL0614, 3-0) to continuous lock-stitch suture, from bottom to top, of the whole layer from the posterior wall to anterior wall. c The second needle to Connell suture of the whole layer of the anterior wall of the anastomosis. d The first standby needle to continuous suture of sarcoplasmic layer of the anterior wall. e Display of anastomotic anterior wall. f Display of anastomotic posterior wall.