title: Modified esophagogastrostomy in laparoscopy-assisted proximal gastrectomy: A reverse-Tornado anastomosis.
abstract: BACKGROUND
  The aim of this study was to introduce and examine a modified mechanical end-to-side esophagogastrostomy method ("reverse-Tornado" anastomosis) in laparoscopy-assisted proximal gastrectomy.
  
  
  METHODS
  Five patients with gastric cancer who underwent laparoscopy-assisted proximal gastrectomy were analyzed retrospectively. Esophagogastrostomy in the anterior wall was performed in three patients, and esophagogastrostomy in the posterior wall was performed in two patients. Clinicopathological features, operative outcomes (operative time, operative blood loss), and postoperative outcomes (complications, postoperative hospital stay, reflux esophagitis) were evaluated.
  
  
  RESULTS
  Operative time was normal (278 min). There was no marked operative blood loss, postoperative complications, prolonged hospital stay, or reflux esophagitis.
  
  
  CONCLUSIONS
  Esophagogastrostomy was completed in a normal time with reverse-Tornado anastomosis. This method can be safe and can enable good postoperative quality of life.
authors.affiliation: Department of Gastroenterological Surgery, St. Luke's International Hospital, Tokyo, Japan.
authors.forename: Keisuke
authors.initials: K
authors.lastname: Kubota
authors.affiliation: Department of Gastroenterological Surgery, St. Luke's International Hospital, Tokyo, Japan.
authors.forename: Akihiro
authors.initials: A
authors.lastname: Suzuki
authors.affiliation: Department of Gastroenterological Surgery, St. Luke's International Hospital, Tokyo, Japan.
authors.forename: Aoi
authors.initials: A
authors.lastname: Fujikawa
authors.affiliation: Department of Gastroenterological Surgery, St. Luke's International Hospital, Tokyo, Japan.
authors.forename: Takayuki
authors.initials: T
authors.lastname: Watanabe
authors.affiliation: Department of Gastroenterological Surgery, St. Luke's International Hospital, Tokyo, Japan.
authors.forename: Yuki
authors.initials: Y
authors.lastname: Sekido
authors.affiliation: Department of Gastroenterological Surgery, St. Luke's International Hospital, Tokyo, Japan.
authors.forename: Hironori
authors.initials: H
authors.lastname: Shiozaki
authors.affiliation: Department of Gastroenterological Surgery, St. Luke's International Hospital, Tokyo, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Taketa
authors.affiliation: Department of Gastroenterological Surgery, St. Luke's International Hospital, Tokyo, Japan.
authors.forename: Gen
authors.initials: G
authors.lastname: Shimada
authors.affiliation: Department of Gastroenterological Surgery, St. Luke's International Hospital, Tokyo, Japan.
authors.forename: Seiji
authors.initials: S
authors.lastname: Ohigashi
authors.affiliation: Department of Gastroenterological Surgery, St. Luke's International Hospital, Tokyo, Japan.
authors.forename: Shintaro
authors.initials: S
authors.lastname: Sakurai
authors.affiliation: Department of Gastroenterological Surgery, St. Luke's International Hospital, Tokyo, Japan.
authors.forename: Akihiro
authors.initials: A
authors.lastname: Kishida
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical; D016063:Blood Loss, Surgical / Q000706:statistics & numerical data; D004947:Esophagus / Q000601:surgery*; D005260:Female; D005743:Gastrectomy / Q000379:methods; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D013270:Stomach / Q000601:surgery*; D013274:Stomach Neoplasms / Q000601:surgery*; D016896:Treatment Outcome
keywords: Esophagogastrostomy; laparoscopy-assisted proximal gastrectomy; mechanical staplers