Fig. 6

Left neck operation. The upper side of the figure is the cranial side, and the lower side is the caudal side. a The esophagus and gastric tube are pulled from the neck. Black arrow is the old esophagogastric anastomosis. Red line is dissection on the oral side of the esophageal twist. b A circular stapler is inserted from the esophageal stump, The twisted part of the esophagus was easily dilated and the body of the circular stapler could pass through. An esophagogastric end-to-side anastomosis was performed on the caudal side of the old anastomosis. The insertion hole of the circular stapler was closed using a linear stapler (red line)