Disturbed passage of jejunal limb near esophageal hiatus after overlapped esophagojejunostomy following laparoscopic total gastrectomy

Table 1 Characteristics of the five patients at the first laparoscopic total gastrectomy

Case	1	2	3	4	5
Sex	M	M	M	M	F
Age	69	67	80	74	65
Original disease
Location	Upper	Remnant stomach	Upper	EGJ	Upper
Histological type	Well	Well	Moderately	Well	Poorly
Clinical Stage1	I	I	I	I	I
Pathological Stage1	IA	IA	IIB	IA	IB
Neoadjuvant chemotherapy	-	-	-	-	-
Adjuvant chemotherapy	-	-	+	-	-
Type of gastrectomy	Total	Total (Complete)	Total	Total	Total
Approach	Laparoscopic	Laparoscopic	Laparoscopic	Laparoscopic	Robotic
Operation time (min)	336	475	339	438	368
Blood loss (mL)	130	76	93	35	34
Splenectomy	-	-	-	-	-
Lymph node dissection	D2	D2	D2	D2	D2
Length of excised esophagus (cm)	1.5	1.5	1.5	3.5	2.0
Direction of esophageal transection	Horizontal	Vertical	Horizontal	Horizontal	Horizontal
Site of esophagostomy	Right	Posterior	Right	Right	Right
Enlarged hiatus	Large	Large	Small	Large	Small
Direction	Ventral	Ventral	Ventral	Ventral	Ventral
Closure of enlarged hiatus	-	-	-	-	-
Route of jejunum	Antecolic	Retrocolic	Antecolic	Retrocolic	Antecolic
Insertion of stapler	Left	Left	Left	Left	Left
Fixation of esophagus	-	-	-	-	-
Fixation of jejunum	-	-	-	+	-
Anastomosis site (common channel level)	at hiatus	above hiatus	below hiatus	above hiatus	below hiatus
Drainage	+	+	+	+	+
Resume of oral intake	3	1	3	4	3
Length of hospital stay	11	49	12	17	19
Postoperative complications	-	-	-	-	-

¹TNM classification, 8th edition.

EGJ:Esophagogastric junction.