title: [A new technique for esophagojejunostomy or esophagogastrostomy after laparoscopic gastrectomy].
abstract: OBJECTIVE
  To report the newly developed reconstruction technique after laparoscopic total gastrectomy: intracorporeal circular stapling esophagojejunostomy using the transorally inserted anvil (OrVil; Covidien), and evaluate its feasibility, safety, and clinical outcomes.
  
  
  METHODS
  After LTG (3 patients with gastric carcinoma in the body) or LPG (2 patients with gastric carcinoma in the cardiac and fundus, respectively, and 1 with cardiac stromal tumor), the anvil was then inserted transorally into the esophagus by using the OrVil system. Double-stapling esophagojejunostomy or esophagogastrostomy with a circular stapler was performed intracorporeally.
  
  
  RESULTS
  The operations were uneventful. The operative time was (183.3+/-25.8) min, and blood loss was (128.3+/-90.2) ml. Postoperative fluorography revealed no anastomotic leakage or stenosis. Patients resumed an oral liquid diet on postoperative day (4.0+/-1.1), and were discharged on day (9.0+/-2.6). Patients were followed at 28 days and no complications were reported.
  
  
  CONCLUSIONS
  LTG with Roux-en-Y reconstruction or LPG with esophagogastrostomy using the OrVil system appear to be safe and reliable with satisfactory short-term outcomes.
authors.affiliation: Minimally Invasive Surgery Center, Changhai Hospital, Second Military Medical University, Shanghai 200433, China. kezhongwei@gmail.com
authors.forename: Chong-Wei
authors.initials: CW
authors.lastname: Ke
authors.forename: Dan-Lei
authors.initials: DL
authors.lastname: Chen
authors.forename: Dan
authors.initials: D
authors.lastname: Ding
authors.forename: Xin-Rong
authors.initials: XR
authors.lastname: Ji
authors.forename: Wen
authors.initials: W
authors.lastname: Ni
authors.forename: Xiao-Ru
authors.initials: XR
authors.lastname: Ruan
authors.forename: Xiao-Mei
authors.initials: XM
authors.lastname: Li
authors.forename: Cheng-Zhu
authors.initials: CZ
authors.lastname: Zheng
mesh_terms: D000714:Anastomosis, Surgical; D004947:Esophagus / Q000601:surgery*; D005743:Gastrectomy / Q000379:methods*; D018530:Gastric Stump / Q000601:surgery*; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D010535:Laparoscopy