Functional end-to end esophago-jejunal anastomosis using linear staplers following laparoscopic total gastrectomy

Technical difficulty of laparoscopic Roux-en-Y reconstruction is a major reason of less prevalence of laparoscopic total gastrectomy (LTG). Reconstruction-related complications, such as anastomotic leakage or stenosis were reported in higher rate than in distal gastrectomy (1). To overcome the technical obstacle and establish a standardized reconstruction method, we introduced intracorporeal functional end-to end (FETE) esophago-jejunal anastomosis using endoscopic linear staplers in September 2006 (2,3). This video article demonstrates our standard laparoscopic procedure of Roux-en-Y reconstruction using endoscopic linear staplers following total gastrectomy (Video 1).