Novel method for esophagojejunal anastomosis after laparoscopic total gastrectomy: Semi-end-to-end anastomosis

Figure 1 Diagram of gastrointestinal reconstruction after laparoscopic total gastrectomy. A: The anvil is inserted into the esophagus; B: The esophagus is dissected; C: The anvil is pulled out from the esophagus; D: The jejunum is transected, and a 3-cm longitudinal incision is made at 10-15 cm from the jejunum distal end; E: The circular stapler is inserted into the jejunum; F: Esophagojejunal anastomosis is performed; G: Semi-end-to-end esophagojejunal anastomosis is completed; H: Roux-en-Y anastomosis is completed.

Figure 2 Surgical diagram of esophagojejunal anastomosis after laparoscopic total gastrectomy. A: The anvil is inserted into the esophagus; B: The esophagus is dissected; C: The anvil is pulled out from the esophagus; D: The jejunum is transected, and a 3-cm longitudinal incision is made at 10-15 cm from the jejunum distal end; E: The circular stapler is inserted into the distal jejunum; F: Esophagojejunal anastomosis is performed; G: Semi-end-to-end esophagojejunal anastomosis is completed; H: The jejunum incision is closed transversely.

Figure 3 Postoperative Barium meal examination demonstrates normal perfusion after semi-end-to-end esophagojejunal anastomosis. An open arrow indicates the anastomosis site.