It was reported via journal article: "title: intracorporeal circular-stapled esophagojejunostomy using hand-sewn purse-string suture after laparoscopic total gastrectomy".Author(s): takahiro kinoshita ¿ takashi oshiro ¿ katsuhiko ito ¿ hidehito shibasaki ¿ shinichi okazumi ¿ ryoji katoh.Citation: surg endosc (2010) 24:2908¿2912; doi 10.1007/s00464-010-1041-y.This study aimed to assess whether a circular-stapled anastomosis using hand-sewn purse-string suture is feasible for laparoscopic total gastrectomy (ltg).From sep2008 to may2009, 10 patients (n=9 male and n=1 female; median age of 63.7 years [range 45-80 years]) with gastric cancer underwent ltg.In all cases, esophagojejunal anastomosis was performed using ecs 25-mm circular stapler.Endoloop was apply to reinforce the ligation.Postoperatively, only one patient experienced intra-abdominal abscess which was treated conservatively with antibiotics.Esophagojejunostomy can be performed as in conventional open surgery.Hand-sewn purse-string suturing is demanding technically, but it can be performed safely by experienced laparoscopic surgeons.This technique is feasible and can lower the cost of the laparoscopic procedure.
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