Overlap Anastomosis for Digestive Reconstruction during Laparoscopic Distal Gastrectomy with Intensive Regional Lymph Node Dissection: Physiological Impact of Preserving the Mesenteric Autonomic Nerves in the Lifted Jejunal Limb

<div>(a) The entry site for the endostapler was extracorporeally made. Two anchor sutures were preplaced. (b) Under countertraction by the two anchor sutures (red arrows), the endostapler was guided into the lifted jejunal limb (dotted blue line). (c) The endostapler was used side-to-side to attach the lifted jejunal limb to the gastric remnant in an isoperistaltic direction. (d) Two full-thickness anchor sutures (red arrows) were placed.</div>

Surgery Research and Practice

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Figure 2: Overlap Anastomosis for Digestive Reconstruction during Laparoscopic Distal Gastrectomy with Intensive Regional Lymph Node Dissection: Physiological Impact of Preserving the Mesenteric Autonomic Nerves in the Lifted Jejunal Limb 

Figure 2 | Overlap Anastomosis for Digestive Reconstruction during Laparoscopic Distal Gastrectomy with Intensive Regional Lymph Node Dissection: Physiological Impact of Preserving the Mesenteric Autonomic Nerves in the Lifted Jejunal Limb 