{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T11:28:22Z","timestamp":1745580502054,"version":"3.37.3"},"reference-count":23,"publisher":"Wiley","license":[{"start":{"date-parts":[[2022,1,18]],"date-time":"2022-01-18T00:00:00Z","timestamp":1642464000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100014980","name":"Wannan Medical College","doi-asserted-by":"publisher","award":["KPF2019017","AHWJ2021b109","Z155080000004"],"award-info":[{"award-number":["KPF2019017","AHWJ2021b109","Z155080000004"]}],"id":[{"id":"10.13039\/501100014980","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Research Projects of Anhui Health Committee","award":["KPF2019017","AHWJ2021b109","Z155080000004"],"award-info":[{"award-number":["KPF2019017","AHWJ2021b109","Z155080000004"]}]},{"name":"National and Provincial Key Specialty Construction Plan","award":["KPF2019017","AHWJ2021b109","Z155080000004"],"award-info":[{"award-number":["KPF2019017","AHWJ2021b109","Z155080000004"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gastroenterology Research and Practice"],"published-print":{"date-parts":[[2022,1,18]]},"abstract":"<jats:p>Background and objectives. Laparoscopic total gastrectomy has developed rapidly in recent years. End-to-side Roux-en-Y esophagojejunostomy by using a circular stapler is a widely accepted reconstruction method, with low rates of anastomotic complications. However, although seldom reported, difficulty of stapler insertion sometimes occurs during operation because of the small diameter of the jejunum, and that will increase the risk of anastomotic leakage or stenosis. Herein, we describe a modified technique for esophagojejunostomy which can make the insertion of the stapler easier. Patients and methods. In this retrospective study, 112 patients who had undergone laparoscopiy-assisted total gastrectomy (LATG) with D2 lymphadenectomy were examined between January 2016 and December 2020. All of these operations were performed by the same surgeon team. Of these, 44 received a conventional Roux-en-Y end-to-side esophagojejunostomy (cRY) group, and the remaining 68 underwent pant-shaped Roux-en-Y esophagojejunostomy (pRY). Clinicopathological characteristics, surgical outcomes, and postoperative complications were compared between the groups. Results. There were no significant differences between the cRY group and pRY group regarding age, sex, BMI, neoadjuvant therapy, preoperative comorbidities, history of laparotomy, ASA score, tumor location, pathological stage, total operative time, incision length, blood loss, time-to-first flatus, time-to-first soft diet, and postoperative hospital stays. The proportions of patients who received a 21\u2009mm stapler were higher in the cRY group (7\/44) than that in the pRY group (0\/68) (<jats:inline-formula>\n                     <a:math xmlns:a=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\">\n                        <a:mi>P<\/a:mi>\n                        <a:mo>=<\/a:mo>\n                        <a:mn>0.003<\/a:mn>\n                     <\/a:math>\n                  <\/jats:inline-formula>). 7 anastomotic complications were reported (6 in the cRY group versus 1 in pRY group; <jats:inline-formula>\n                     <c:math xmlns:c=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\">\n                        <c:mi>P<\/c:mi>\n                        <c:mo>=<\/c:mo>\n                        <c:mn>0.028<\/c:mn>\n                     <\/c:math>\n                  <\/jats:inline-formula>) of which five (83.3%) in the cRY were anastomotic stenosis versus none in the pRY group (<jats:inline-formula>\n                     <e:math xmlns:e=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\">\n                        <e:mi>P<\/e:mi>\n                        <e:mo>=<\/e:mo>\n                        <e:mn>0.044<\/e:mn>\n                     <\/e:math>\n                  <\/jats:inline-formula>). Conclusions. The application of pant-shaped anastomosis for esophagojejunostomy after LTG is a safe and feasible procedure and has an advantage when the jejunum diameter is small.<\/jats:p>","DOI":"10.1155\/2022\/4494401","type":"journal-article","created":{"date-parts":[[2022,1,18]],"date-time":"2022-01-18T23:20:05Z","timestamp":1642548005000},"page":"1-9","source":"Crossref","is-referenced-by-count":2,"title":["A Modified Anastomosis Technique for Esophagojejunostomy after Laparoscopy-Assisted Total Gastrectomy: A Single Team Preliminary Experience"],"prefix":"10.1155","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3363-3165","authenticated-orcid":true,"given":"Zehui","family":"Wu","sequence":"first","affiliation":[{"name":"Department of General Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui Province, China"},{"name":"Department of Gastrointestinal Surgery, The First Affiliated Hospital of Wannan Medical College, Wuhu241001, Anhui Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3907-2306","authenticated-orcid":true,"given":"Bing","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, The First Affiliated Hospital of Wannan Medical College, Wuhu241001, Anhui Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0794-6929","authenticated-orcid":true,"given":"Gang","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, The First Affiliated Hospital of Wannan Medical College, Wuhu241001, Anhui Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3206-5103","authenticated-orcid":true,"given":"Jiaju","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, The First Affiliated Hospital of Wannan Medical College, Wuhu241001, Anhui Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9413-9390","authenticated-orcid":true,"given":"Chengxiong","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, The First Affiliated Hospital of Wannan Medical College, Wuhu241001, Anhui Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0028-8900","authenticated-orcid":true,"given":"Fangzheng","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, The First Affiliated Hospital of Wannan Medical College, Wuhu241001, Anhui Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0900-9031","authenticated-orcid":true,"given":"Lianghui","family":"Shi","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, The First Affiliated Hospital of Wannan Medical College, Wuhu241001, Anhui Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5656-0646","authenticated-orcid":true,"given":"Aman","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of General Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/2617903"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-013-2945-0"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31828dfa5d"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000000407"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2015.08.013"},{"issue":"9","key":"6","first-page":"2497","article-title":"Feasibility and safety of a novel reverse puncture device (RPD) for laparoscopic esophagogastrostomy\/esophagojejunostomy","volume":"7","author":"D. 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