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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Dec 27, 2025; 17(12): 114079
Published online Dec 27, 2025. doi: 10.4240/wjgs.v17.i12.114079
Published online Dec 27, 2025. doi: 10.4240/wjgs.v17.i12.114079
Reducing anastomotic complications with endoscopy in laparoscopic total gastrectomy
Lei Gong, Jing Yu, Zhen-Bing Lv, Xiang-Zhi Qin, Min Li, Wei Guo, Bin Huang, Yun-Hong Tian, Department of General Surgery, Beijing Anzhen Nanchong Hospital of Capital Medical University & Nanchong Central Hospital, Nanchong 637000, Sichuan Province, China
Co-first authors: Lei Gong and Jing Yu.
Author contributions: Gong L wrote the article and conducted the statistical analysis; Yu J collected the clinical data and abstracted the data; Gong L and Yu J contributed equally to this article and are the co-first authors of this manuscript; Lv ZB, Qin XZ, Li M, Guo W, and Huang B participated in modification and data analysis; Tian YH and Gong L designed the research protocols for the present study, provided guidance for writing and revising the article. All authors have read and approved the final manuscript.
Institutional review board statement: This study was approved by the Medical Ethics Committee of Nanchong Central Hospital Affiliated to North Sichuan Medical College (Approval No. 2022012).
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: All relevant data are included in the paper, and no additional data are available.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yun-Hong Tian, MD, PhD, Chief Physician, Professor, Department of General Surgery, Beijing Anzhen Nanchong Hospital of Capital Medical University & Nanchong Central Hospital, No. 97 Renmin South Road, Shunqing District, Nanchong 637000, Sichuan Province, China. drtianyunhong@126.com
Received: September 11, 2025
Revised: September 23, 2025
Accepted: October 27, 2025
Published online: December 27, 2025
Processing time: 105 Days and 11.7 Hours
Revised: September 23, 2025
Accepted: October 27, 2025
Published online: December 27, 2025
Processing time: 105 Days and 11.7 Hours
Core Tip
Core Tip: This study demonstrates that routine intraoperative endoscopic examination (IEE) during circular stapler esophagojejunostomy significantly reduces early anastomotic complications by enabling immediate detection and repair of technical defects such as leaks, bleeding, strictures, and full-thickness tears. In a retrospective analysis of 160 patients undergoing laparoscopic total gastrectomy, the IEE group had no postoperative anastomotic complications compared to 7.5% in the non-IEE group, despite a modest increase in operative time. These findings support the integration of IEE as a standard practice to enhance surgical safety and outcomes in gastric cancer surgery.