Feasibility and safety of intracorporeal esophagojejunostomy after laparoscopic total gastrectomy: Inverted T-shaped anastomosis using linear staplers

Intracorporeal esophagojejunostomy using the double stapling technique after laparoscopic total gastrectomy: A retrospective case-series study

“…Intracorporeal reconstruction can be divided into side-to-side anastomosis using a linear stapler and end-to-side anastomosis using a circular stapler. After side-to-side anastomosis was first introduced by Walther et al [12] , simpler and safer (modified) methods of side-to-side anastomosis for esophagojejunostomy have been reported [13][14][15][16] . Side-to-side anastomosis has two advantages: no injury to the esophagus and no need for purse-string sutures.…”

Feasibility and safety of modified inverted T-shaped method using linear stapler with movable cartridge fork for esophagojejunostomy following laparoscopic total gastrectomy

“…We also previously reported the feasibility and safety of our novel modified overlap method using a linear stapler (Figure 2), termed inverted T-shaped anastomosis (10). Until July 2011, we successfully performed the inverted T-shaped method using a linear stapler with a fixed cartridge fork in 61 cases.…”

“…We previously reported use of a modified overlap method to decrease the difficulty associated with hand sewing of the entry hole of the linear stapler (10). In this previous modified method, we divided the esophagus in the ventrodorsal direction and inserted the linear stapler from the anterior wall of the jejunum to the posterior wall.…”

Laparoscopic Total Gastrectomy for Gastric Cancer

“…[19][20][21][22][23][24][25][26][27][28][29] However, there were no differences in the surgical outcomes between extracorporeal and intracorporeal E-J stomy or between circular and linear stapling. The rate of E-J leakage ranged from 0% to 7.4% overall, from 1.5% to 7.4% for circular stapling, [14][15][16][17][18][19][20][21] and from 0% to 6% for linear stapling.…”