title: Intracorporeal esophagojejunostomy using hemi-double-stapling technique after laparoscopic total gastrectomy in gastric cancer patients.
abstract: OBJECTIVE
  To present the feasibility and safety of Roux-en-Y esophagojejunostomy using hemi-double-stapling technique after laparoscopic total gastrectomy.
  
  
  METHODS
  We reviewed the outcomes from 58 consecutive patients with gastric cancer who underwent laparoscopic total gastrectomy. The clinicopathological characteristics including postoperative complications were examined.
  
  
  RESULTS
  The mean age and body mass index were 57.3 ± 9.7 years and 23.7 ± 2.6 kg/m2, respectively. The mean overall total operation was 199.8 ± 57.0 minutes. Intraoperative blood loss was 81.6 ± 56.3 mL and there was no open conversion. The patients' hospital stay was a mean 9.6 ± 2 days. The mean proximal margin of the specimens was 2.7 ± 1.8 cm. There were 3 cases (5.1%) of anastomosis leakage, but all were controlled successfully by endoscopic stent.
  
  
  CONCLUSIONS
  The circular HDST technique is simple and reliable without any significant demerits with respect to safety concerns or difficulty of operation.
authors.affiliation: Division of Gastrointestinal Surgery, Department of Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
authors.forename: Bandar
authors.initials: B
authors.lastname: Ali
authors.affiliation: Division of Gastrointestinal Surgery, Department of Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
authors.forename: Cho Hyun
authors.initials: CH
authors.lastname: Park
authors.affiliation: Division of Gastrointestinal Surgery, Department of Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
authors.forename: Kyo Young
authors.initials: KY
authors.lastname: Song
keywords: Feasibility; Gastric cancer; Hemi-double-stapling technique; Intracorporeal esophagojejunostomy; Laparoscopic total gastrectomy