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>Actual findings via laparoscope during intracorporeal procedures were shown. Co-author, (T) Hori, mainly performed this surgery. (a) Two full-thickness anchor sutures (red arrows) were bilaterally placed for secure closure of the entry site. (b) Mucosal layers at the entry site were closed (red arrow). (c) Seromuscular layers at the entry site were closed. (d) Seromuscular sutures were made to cover the back of staples (yellow arrows).</div>

Surgery Research and Practice

fig5

Figure 5

Figure 5: 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 5 | 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 