Technique to tie a surgical thread to the esophageal mucosal and muscle layers in esophagojejunostomy during laparoscopic total gastrectomy Yuji ISHIBASHI 1 , Koichiro KAWASAKI 1 , Ryoto YAMAZAKI 2 , Fumihiko HATAO 1 , Yasuhiro MORITA 1 , Kazuhiro IMAMURA 1 1Department of Surgery, Tokyo Metropolitan Tama Medical Center 2Department of Surgery, Tokyo Metropolitan Matsuzawa Hospital Keyword: 腹腔鏡下胃全摘 , linear stapler , 再建 pp.257-261
Published Date 2021/5/15
DOI https://doi.org/10.11477/mf.4426200909
  • Abstract
  • Look Inside
  • Reference

 We report herein a simple and reliable technique used in esophagojejunostomy to tie a suture to the esophageal mucosal and muscle layers during laparoscopic total gastrectomy. An anesthesiologist inserts a 18 Fr Salem sump tube and presses the tube against the edge of the esophageal stump while the operator makes a small hole in the same site. The operator then inserts a needle perpendicular to the esophageal wall from outside the esophagus into the sump tube at a position about 1 cm from the stump and pierces the tube so that its tip is inside the tube lumen. As the operator pulls the tube about 2 cm into the abdominal cavity with forceps, the needle is pulled out together with the tube from the esophageal lumen into the abdominal cavity. Then the operator ligates the suture to fix the esophageal mucosal and muscle layers in position.

Copyright © 2021, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.


電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会