A Modified Anastomosis Technique for Esophagojejunostomy after Laparoscopy-Assisted Total Gastrectomy: A Single Team Preliminary Experience

Figure 3

Surgical diagram of pant-shaped anastomosis. A purse-string suture was made on the antimesenteric edge 10 cm away from the jejunal end, followed by an incision in its center (a). The two arms of a linear stapler were inserted into the afferent and efferent portion of the jejunum, respectively (b). A circular stapler was inserted into the jejunal pouch through the jejunal end, with the central rod puncturing through the antimesenteric incision (c). After the EJS was finished, the remnant entry was closed using a linear stapler (d).

(a)

(b)

(c)

(d)