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©The Author(s) 2017.
World J Gastroenterol. Oct 21, 2017; 23(39): 7129-7138
Published online Oct 21, 2017. doi: 10.3748/wjg.v23.i39.7129
Published online Oct 21, 2017. doi: 10.3748/wjg.v23.i39.7129
Table 1 Characteristics, merit and demerit of different esophagojejunostomy anastomosis techniques
Anastomosis surgeon | Characteristics | Merit | Demerit |
Uyama et al[12] | The anastomosis line is vertical with esophageal long axis | Anastomotic is large enough | The number of anastomosis linear staplers is much |
Jejunum is located in the right side of the esophagus. | |||
Matsui et al[37] | Complete the anastomosis before severed esophagus | The number of anastomosis linear staplers is reduced | Probably develop dysphagia 6 mo after operation |
Close the stoma and resect specimens at the same time | |||
Jejunum is located in the right side of the esophagus | |||
Lee et al[13] | Suture esophagus, jejunum and right angle of diaphragm after anastomosis | Reduce the incidence of esophageal hiatal hernia and anastomotic fistula | Increase the operation time |
Jejunum is located in the right side of the esophagus | |||
Okabe et al[38] | Before anastomosis, the specimens was removed | The size of anastomotic stoma is bigger | The technique is difficult |
Jejunum is located in the left side of the esophagus | |||
Inaba et al[29] | Overlap anastomosis | Isoperistaltic anastomosis meets the physiological needs | The jejunum is free and difficult for anastomosis |
Divide the jejunum before anastomosis | |||
Matsui et al[39] | Overlap anastomosis | Isoperistaltic anastomosis meets the physiological needs | The jejunum is free and difficult for anastomosis |
Divide the esophagus after anastomosis |
- Citation: Huang ZN, Huang CM, Zheng CH, Li P, Xie JW, Wang JB, Lin JX, Lu J, Chen QY, Cao LL, Lin M, Tu RH, Lin JL. Digestive tract reconstruction using isoperistaltic jejunum-later-cut overlap method after totally laparoscopic total gastrectomy for gastric cancer: Short-term outcomes and impact on quality of life. World J Gastroenterol 2017; 23(39): 7129-7138
- URL: https://www.wjgnet.com/1007-9327/full/v23/i39/7129.htm
- DOI: https://dx.doi.org/10.3748/wjg.v23.i39.7129