Neoplasms

Digestive System Diseases

All Conditions

Rare Diseases

Stomach Neoplasms

Gastrointestinal Neoplasms

Digestive System Neoplasms

Gastrointestinal Diseases

Stomach Diseases

Stomach Cancer

Patient group with intracorporeal esophagojejunostomy with linear stapler

Under laparoscopic view, esophagojejunostomy was pereformed with 60mm linear stapler on right side of distal esophagus like as functional end-to-end fashion before esophageal and jejunal resection. Then, three procedures of esophageal resection, common entry hole closure and jejunal resection was performed with a single use of 60mm stapler. Also, jejunojejunostomy was also performed via already made staple entry hole.

Intracorporeal esophagojejunostomy

Seung Wan Ryu, Ph.D.

Laparoscopic gastrectomy became a good option for early gastric cancer. Surgical trend is gradually changed to totally laparoscopic gastrectomy from laparoscopy-assisted gastrectomy requiring mini-laparotomy. Various types of intracorporeal anastomosis have been introduced for esophagojejunostomy during total gastrectomy. We invented a novel anastomosis method using linear stapler for total gastrectomy. Three procedures (Jejunal resection, esophageal resection and closure of common entry hole after anastomosis) was performed with only one stapler. Therefore, the novel method is simple and fast. Also, this new technique is better economically than previously introduced anastomosis using linear stapler because lesser number of stapler is required. We want to demonstrate the feasibility of novel intracorporeal anastomosis method during laparoscopic total gastrectomy.

Novel Esophago-Jejunal Anastomosis Method During Totally Laparoscopic Total Gastrectomy

Novel Esophago-Jejunal Anastomosis Method During Totally Laparoscopic Total Gastrectomy: π-shape Esophagojejunostomy, Three-in-one Technique

Anastomotic leakage, intraluminal bleeding, or stenosis were considered as anastomosis related complication

Keimyung University Dongsan Medical Center

Director of Gastrointesinal surgery, associate professor

Symptoms and General Pathology

Postoperative Complications

Linear stapler is adopted in esophagojejunostomy.

Circular stapler is adopted in esophagojejunostomy.

Linear stapler is adopted in esophagojejunostomy

Linear stapler

Circular stapler is adopted in esophagojejunostomy

Circular stapler

Yunhong Tian, Doctor

With the development of stapler devices, various methods of esophagojejunostomy after laparoscopic total gastrectomy were evoluated. Which stapler is more advantageous has not been determined. At present, the most commonly used is linear stapler or Circular stapler in esophagojejunostomy. However, there is still a lack of reliable evidence for the selection of the two staplers. The purpose of this study is to explore the advantages of linear staper versus circular stapler in esophagojejunostomy for patients with gastric cancer who underwent total gastrectomy.

With the development of stapler devices, various methods of esophagojejunostomy after laparoscopic total gastrectomy were evoluated. Which stapler is more advantageous has not been determined. At present, the most commonly used is linear stapler or Circular stapler in esophagojejunostomy. However, there is still a lack of reliable evidence for the selection of the two staplers. The purpose of this study is to explore the advantages of linear staper versus circular stapler in esophagojejunostomy for patients with Siewert classification type II and III gastric cancer who underwent total gastrectomy.

Linear Stapler Versus Circular Stapler in Esophagojejunostomy

Linear Stapler Versus Circular Stapler in Esophagojejunostomy for Patients With Gastric Cancer Underwent Laparoscopic Total Gastrectomy

All surgical complication after laparoscopic total gastrectomy

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization
Novel Esophago-Jejunal Anastomosis Method During Totally Laparoscopic Total Gastrectomy	NCT02330913	Gastric Cancer	Intracorporeal ...	20 Years - 80 Years	Keimyung University Dongsan Medical Center
Linear Stapler Versus Circular Stapler in Esophagojejunostomy	NCT05360069	Postoperative C... Operative Time Hospital Costs	Linear stapler Circular staple...	18 Years - 90 Years	Nanchong Central Hospital
Novel Esophago-Jejunal Anastomosis Method During Totally Laparoscopic Total Gastrectomy	NCT02330913	Gastric Cancer	Intracorporeal ...	20 Years - 80 Years	Keimyung University Dongsan Medical Center

Spots Global Cancer Trial Database for esophagojejunostomy