Fibrin sealant for esophageal anastomosis: A phase II study

Figure 1 Illustration of the circular stapled anastomosis with application of fibrin sealant to esophagogastric anastomosis after esophageal resection. A: The stapler head was placed into cervical esophagus stump and tied carefully; B: Incision of the gastric wall and insert of the stapler; C: Esophagogastric end-to-side anastomosis with a circular stapler; D: Closure of the fundus of gastric conduit with a linear stapler; E: Anastomosis and gastric stump after circular stapling; F: The staple line was inverted with a whole-layer suture; G: Fibrin sealant was applied to the esophagogastric anastomosis circumferentially; H: Completion of the application of fibrin sealant to cervical anastomosis.