Comparative analysis of two digestive tract reconstruction methods in total laparoscopic radical total gastrectomy

Figure 1 Total laparoscopic radical total gastrectomy + jejunal interposition double-tract reconstruction. A: After cleaning the upper and lower pyloric lymph nodes, the duodenum was severed using a linear cutting stapler; B: Disconnection of esophagus; C: The Jejunal side-to-side anastomosis was completed by a linear cutting stapler; D: Duodenum and jejunum openings; E: Linear cutting stapler to complete duodenum-jejunum side-to-side anastomosis; F: The common opening of duodenum jejunum anastomosis was sutured by barbed suture; G: Suture the duodenal stump with barbed suture; H: Linear cutting stapler to complete esophageal jejunum overlap anastomosis; I: The barbed suture was continuously sutured to close the common opening of esophagus jejunum.