{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T21:14:29Z","timestamp":1790198069224,"version":"4.1.0"},"reference-count":21,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2017,4,26]],"date-time":"2017-04-26T00:00:00Z","timestamp":1493164800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,4,26]],"date-time":"2017-04-26T00:00:00Z","timestamp":1493164800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Performing a safe esophagojejunostomy is important for the standardization of laparoscopic total gastrectomy. We have performed intracorporeal esophagojejunostomy by a circular stapler using the purse\u2010string suturing device that we co\u2010developed. The advantage of this device is that it makes use of the same surgical procedure as open surgery, but it does not depend on the surgeon\u2019s technical skills since this device does not require the laparoscopic hand\u2010sewn technique. Furthermore, we have also adapted this device for double\u2010tract reconstruction after laparoscopic proximal gastrectomy. In this study, we present the surgical procedures and postoperative short\u2010term outcomes that were obtained using this novel technique.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We enrolled 94 patients that underwent intracorporeal esophagojejunostomy by circular stapler using our device after laparoscopic total or proximal gastrectomy for gastric cancer between November 2009 and October 2016.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Postoperative complications related to esophagojejunostomy were due to anastomotic stenosis in two cases (2.1%) and leakage of the jejunum stump in one case (1.1%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Intracorporeal esophagojejunostomy by circular stapler using the purse\u2010string suturing device is safe and feasible. This method can be one of the standard procedures for performing intracorporeal esophagojejunostomy.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-017-4033-4","type":"journal-article","created":{"date-parts":[[2017,4,26]],"date-time":"2017-04-26T14:05:36Z","timestamp":1493215536000},"page":"2605-2610","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Esophagojejunostomy Using the Purse\u2010String Suturing Device After Laparoscopic Total or Proximal Gastrectomy for Gastric Cancer"],"prefix":"10.1002","volume":"41","author":[{"given":"Keisuke","family":"Okuno","sequence":"first","affiliation":[{"name":"Department of Gastric Surgery Tokyo Medical and Dental University 1\u20105\u201045 Yushima, Bunkyo Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kentaro","family":"Gokita","sequence":"additional","affiliation":[{"name":"Department of Gastric Surgery Tokyo Medical and Dental 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