{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T02:27:25Z","timestamp":1775960845812,"version":"3.50.1"},"reference-count":14,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,6,26]],"date-time":"2019-06-26T00:00:00Z","timestamp":1561507200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Intracorporeal anastomoses in totally laparoscopic gastrectomy (TLG) remain technical challenges to many surgeons, although the intracorporeal jejunojejunal or gastrojejunal anastomosis is an essential procedure during TLG. Standardized, reproducible and simple circular\u2010stapled anastomosis in open gastrectomy is limited in TLG due to the difficulties of intracorporeal purse\u2010string suture or anvil placement. An optimal procedure for intracorporeal anastomosis in TLG remains to be established.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between February 2018 and January 2019, 31 consecutive patients with gastric cancer underwent totally laparoscopic total gastrectomy (TLTG) or totally laparoscopic distal gastrectomy (TLDG) using the novel u\u2010shaped parallel purse\u2010string suture technique along the jejunum for anvil placement. The intracorporeal circular\u2010stapled jejunojejunostomy of Roux\u2010en\u2010Y reconstruction in TLTG and gastrojejunostomy of Billroth II in TLDG were, respectively, performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The total mean\u2009\u2009\u00b1\u2009SD operative time was 214.7\u2009\u00b1\u200948.6\u2009minutes. The time required for purse\u2010string suture and anvil placement was 2.3\u2009\u00b1\u20090.5 and 4.4\u2009\u00b1\u20091.1\u2009minutes, respectively. There were no instances of postoperative jejunojejunal or gastrojejunal anastomosis\u2010related complications observed during the median follow\u2010up period of 5.5 months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The novel procedure conceptionally and technically changes the conventional circular\u2010shaped purse\u2010string suture into a much simpler way, u\u2010shaped parallel purse\u2010string suture. This could be the simplest published intracorporeal pure\u2010string suture technique<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.25596","type":"journal-article","created":{"date-parts":[[2019,6,27]],"date-time":"2019-06-27T04:34:31Z","timestamp":1561610071000},"page":"501-507","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Intracorporeal circular\u2010stapled anastomosis after totally laparoscopic gastrectomy: A novel, simplest u\u2010shaped parallel purse\u2010string suture technique"],"prefix":"10.1002","volume":"120","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6572-2720","authenticated-orcid":false,"given":"Jianjun","family":"Du","sequence":"first","affiliation":[{"name":"Department of General Surgery, Huashan Hospital Fudan University  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hongyuan","family":"Xue","sequence":"additional","affiliation":[{"name":"Department of 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