{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,17]],"date-time":"2024-05-17T23:02:24Z","timestamp":1715986944448},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,1,17]],"date-time":"2013-01-17T00:00:00Z","timestamp":1358380800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2013,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>During a laparoscopic total gastrectomy, the combined process of purse\u2010string suture placement and anvil insertion of a circular stapler is one of the most difficult steps in the reconstruction. We have developed a stable and reliable technique in which purse\u2010string suture placement and anvil insertion using anterior esophagotomy precede complete transection of the esophagus.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The procedure involves tying the distal esophagus, insufflating the esophagus via a nasogastric tube, anterior wall purse\u2010string suture, anterior esophagotomy, posterior wall purse\u2010string suture, anvil insertion, fastening purse\u2010string suture, and transecting the esophagus. The technique has been employed in nine patients since <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>pril 2011.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eight of the nine gastrectomies were for patients with stage <jats:styled-content style=\"fixed-case\">IA<\/jats:styled-content> early gastric cancer and one was for a patient with medically intractable bleeding from multiple polyps. Three were men and six were women. Average <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> was 25.2\u2009\u00b1\u20095.3 (range, 16.3\u201333.9). Mean operation time was 276.2\u2009\u00b1\u200956.3\u2009min (range, 215.0\u2013395.0\u2009min) and the mean duration for anvil insertion was 29.8\u2009\u00b1\u20097.0\u2009min (range, 23.0\u201346.0\u2009min). There were no intraoperative or postoperative anastomosis\u2010related complications or mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our method of anvil insertion of a circular stapler can be a good option for safe and reliable esophagojejunostomy during a laparoscopic total gastrectomy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ases.12014","type":"journal-article","created":{"date-parts":[[2013,1,17]],"date-time":"2013-01-17T10:25:21Z","timestamp":1358418321000},"page":"82-89","source":"Crossref","is-referenced-by-count":5,"title":["Stable purse\u2010string suturing using an anterior esophagotomy for reconstruction with a circular stapler during laparoscopic total gastrectomy"],"prefix":"10.1111","volume":"6","author":[{"given":"Seong\u2010Ho","family":"Kong","sequence":"first","affiliation":[{"name":"Department of Surgery Seoul National University Hospital  Seoul 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