Esophagojejunostomy after laparoscopic total gastrectomy by OrVilTM or hemi-double stapling technique

Figure 1 OrVil^TM procedure. A: The central rod of the anvil connected with a tube; B: The lower esophagus was dissociated, and the esophagus was closed and cut; C: The tube of the OrVil^TM system was transorally inserted into the esophagus, and the head of the tube was pulled out from the small hole at the end of the esophagus; D: The tube was pulled out until the anvil that connected with the end of the tube reached the esophageal stump; E: The connection line between the tube and anvil was cut down, and the tube was pulled out.