Modified esophagogastrostomy in laparoscopy-assisted proximal gastrectomy: A reverse-Tornado anastomosis.
INTRODUCTION
The aim of this study was to introduce and examine a modified mechanical end-to-side esophagogastrostomy method ("reverse-Tornado" anastomosis) in laparoscopy-assisted proximal gastrectomy.


METHODS
Five patients with gastric cancer who underwent laparoscopy-assisted proximal gastrectomy were analyzed retrospectively. Esophagogastrostomy in the anterior wall was performed in three patients, and esophagogastrostomy in the posterior wall was performed in two patients. Clinicopathological features, operative outcomes (operative time, operative blood loss), and postoperative outcomes (complications, postoperative hospital stay, reflux esophagitis) were evaluated.


RESULTS
Operative time was normal (278 min). There was no marked operative blood loss, postoperative complications, prolonged hospital stay, or reflux esophagitis.


CONCLUSION
Esophagogastrostomy was completed in a normal time with reverse-Tornado anastomosis. This method can be safe and can enable good postoperative quality of life.
['Kubota|Keisuke|K|', 'Suzuki|Akihiro|A|', 'Fujikawa|Aoi|A|', 'Watanabe|Takayuki|T|', 'Sekido|Yuki|Y|', 'Shiozaki|Hironori|H|', 'Taketa|Takashi|T|', 'Shimada|Gen|G|', 'Ohigashi|Seiji|S|', 'Sakurai|Shintaro|S|', 'Kishida|Akihiro|A|']
D000368:Aged D000714:Anastomosis, Surgical D016063:Blood Loss, Surgical D004947:Esophagus D005260:Female D005743:Gastrectomy D006801:Humans D010535:Laparoscopy D007902:Length of Stay D008297:Male D008875:Middle Aged D061646:Operative Time D011183:Postoperative Complications D012189:Retrospective Studies D013270:Stomach D013274:Stomach Neoplasms D016896:Treatment Outcome
Esophagogastrostomy laparoscopy-assisted proximal gastrectomy mechanical staplers