{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T19:40:04Z","timestamp":1751485204196,"version":"3.41.0"},"reference-count":25,"publisher":"International College of Surgeons","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014]]},"abstract":"<jats:title>Abstract<\/jats:title>\n        <jats:p>Laparoscopy-assisted total gastrectomy (LATG), esophagojejunostomy is an effective but difficult procedure to perform. We describe a simple modification that substantially facilitates insertion of the anvil into the esophagus and avoids oral injuries and complications. After mobilization of the stomach and esophagus, a semicircumferential esophagotomy is made at the anterior esophageal wall. An OrVil anvil (Orvil, Covidien, Norwalk, CT, USA) is delivered laparoscopically and secured with a POLYSORB (Covidien) suture to the esophagus. The suture is advanced anteriorly so that the center rod penetrates the esophageal wall. The esophagus is transected with the stapler at this point. A circular-stapled esophagojejunostomy is then performed using the hemidouble stapling technique. Laparoscopy-assisted total gastrectomies were performed for 40 patients with gastric cancers (T1N0M0). All procedures were completed laparoscopically without any complications. The time required to place the anvil averaged 5 min compared with 9 min reported by others. There were no major complications or mortality in this series. The major advantage of this technique is that circular stapling is much easier than linear stapling, allowing surgeons without advanced surgical skills in LATG to perform the procedure effectively and safely.<\/jats:p>","DOI":"10.9738\/intsurg-d-13-00090.1","type":"journal-article","created":{"date-parts":[[2014,1,20]],"date-time":"2014-01-20T22:47:19Z","timestamp":1390258039000},"page":"79-85","source":"Crossref","is-referenced-by-count":8,"title":["Laparoscopy-assisted Total Gastrectomy: A Simplified Approach"],"prefix":"10.9738","volume":"99","author":[{"given":"Kazuya","family":"Muguruma","sequence":"first","affiliation":[{"name":"Department of Surgical Oncology, Osaka City University Graduate School of Medicine, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroaki","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Osaka City University Graduate School of Medicine, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katsunobu","family":"Sakurai","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Osaka City University Graduate School of Medicine, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takahiro","family":"Toyokawa","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Osaka City University Graduate School of Medicine, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoshi","family":"Kubo","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Osaka City University Graduate School of Medicine, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshito","family":"Yamashita","sequence":"additional","affiliation":[{"name":"Division of Digestive Surgery of Osaka Municipal General Medical Center, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetsuji","family":"Sawada","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Osaka City University Graduate School of Medicine, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaichi","family":"Ohira","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Osaka City University Graduate School of Medicine, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kosei","family":"Hirakawa","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Osaka City University Graduate School of Medicine, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4721","reference":[{"issue":"2","key":"i0020-8868-99-1-79-b01","series-title":"Jpn J Clin Oncol","first-page":"139","article-title":"Cancer incidence and incidence rates in Japan in 2006: based on data from 15 population-based cancer registries in the monitoring of cancer incidence in Japan (MCIJ) project","volume":"42","author":"Matsuda\n              T,","year":"2012","unstructured":"Matsuda\n              T, \n            \n              Marugame\n              T, \n            \n              Kamo\n              K, \n            \n              Katanoda\n              K, \n            \n              Ajiki\n              W, \n            \n              Sobue\n              T\n            \n            et al\n          . Cancer incidence and incidence rates in Japan in 2006: based on data from 15 population-based cancer registries in the monitoring of cancer incidence in Japan (MCIJ) project. Jpn J Clin Oncol2012;42(2):139\u2013147"},{"issue":"3","key":"i0020-8868-99-1-79-b02","series-title":"J Surg Oncol","first-page":"282","article-title":"Minimally invasive approaches for gastric cancer-Japanese experiences","volume":"107","author":"Etoh\n              T,","year":"2012","unstructured":"Etoh\n              T, \n            \n              Inomata\n              M, \n            \n              Shiraishi\n              N, \n            \n              Kitano\n              S. \n          \n          Minimally invasive approaches for gastric cancer-Japanese experiences. 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Surg Endosc2002;16(3):540\u2013544"},{"issue":"5","key":"i0020-8868-99-1-79-b09","series-title":"Surg Laparosc Endosc Percutan Tech","first-page":"304","article-title":"Hand-assisted laparoscopic total gastrectomy for early gastric cancer","volume":"13","author":"Usui\n              S,","year":"2003","unstructured":"Usui\n              S, \n            \n              Inoue\n              H, \n            \n              Yoshida\n              T, \n            \n              Fukami\n              N, \n            \n              Kudo\n              SE, \n            \n              Iwai\n              T. \n          \n          Hand-assisted laparoscopic total gastrectomy for early gastric cancer. 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Surg Endosc2011;25(4):1300\u20131305"},{"issue":"1","key":"i0020-8868-99-1-79-b13","series-title":"Am J Surg","first-page":"e13","article-title":"A simple and safe technique for esophagojejunostomy using the hemidouble stapling technique in laparoscopy-assisted total gastrectomy","volume":"197","author":"Omori\n              T,","year":"2009","unstructured":"Omori\n              T, \n            \n              Oyama\n              T, \n            \n              Mizutani\n              S, \n            \n              Tori\n              M, \n            \n              Nakajima\n              K, \n            \n              Akamatsu\n              H\n            \n            et al\n          . A simple and safe technique for esophagojejunostomy using the hemidouble stapling technique in laparoscopy-assisted total gastrectomy. 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CA Cancer J Clin2011;61(2):69\u201390"},{"issue":"6","key":"i0020-8868-99-1-79-b18","series-title":"Ann Surg","first-page":"927","article-title":"Robot-assisted gastrectomy with lymph node dissection for gastric cancer: lessons learned from an initial 100 consecutive procedures","volume":"249","author":"Song\n              J,","year":"2009","unstructured":"Song\n              J, \n            \n              Oh\n              SJ, \n            \n              Kang\n              WH, \n            \n              Hyung\n              WJ, \n            \n              Choi\n              SH, \n            \n              Noh\n              SH. \n          \n          Robot-assisted gastrectomy with lymph node dissection for gastric cancer: lessons learned from an initial 100 consecutive procedures. 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