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

Figure 2 Hemi-double stapling technique procedure. A: The tail of the central rod of the anvil was sutured with sutures that contained a needle; B: The anvil with needle-containing sutures was inserted into the esophagus via the incision on the lower edge of the esophagus; C: The needle was inserted through the anterior wall of the esophagus, and the needle and sutures were pulled out from the anterior wall of the esophagus; D: The lower edge of the esophagus was closed off and cut down using a linear cutter; E: The sutures were further retracted until the central rod of the anvil was completely pulled out.