Easy method for fixation of the anvil using a one‐handed sliding‐knot technique after laparoscopic total gastrectomy

Abstract

This method is easy and reliable, and does not require special devices or skills when performing reconstruction after laparoscopic total gastrectomy. Because of these factors, it has the potential to be widely used to perform esophagojejunostomy.

Current status of laparoscopic total gastrectomy

“…Okata reported that anastomosis under tension significantly increases anastomotic complications 98. Some efforts to decrease the tension, such as dissecting a marginal artery of the jejunal artery, sacrificing the jejunum,99 and elevating the jejunum through the retrocolic route, should be considered during the operation in the case of EJS under tension.Next, all of the studies retrieved above were summarized according to the insertion site of the suture instrument, such as left upper, left lower, and umbilical(Table 3) 33,46,48,55,[63][64][65][67][68][69][70][71][73][74][75][76][77][78][79][80][81][82][83][84][85][86][88][89][90]92,[94][95][96][97]. As shown in…”