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

Figure 3 Anvil insertion. A: A small gastrotomy (approximately 3 cm) is performed across the esophagogastric junction using a harmonic scalpel; B: the prepared anvil is inserted into the esophagus through the gastrotomy until it reaches the thoracic esophagus; C: The distal esophagus is transected with a linear stapling. To avoid disrupting the stay-suture, the stay-suture is lifted cranially; D: The anvil is completely placed in the esophageal stump after the stay-suture is pulled out.