Fig. 1.

The procedure for stapled side-to-side anastomosis in gastrojejunostomy and Braun’s anastomosis using an endoscopic linear stapler. By September 2012, gastrojejunostomy and Braun jejunojejunostomy were being performed routinely in an end-to-side and side-to-side fashion, respectively, using an Albert-Lembert anastomosis (a). In September 2012, a stapled side-to-side anastomosis using a laparoscopic linear stapler was introduced for alimentary reconstruction during SSPPD (b). In terms of stapled side-to-side anastomosis, the gastrojejunostomy was performed with a side-to-side anastomosis in the posterior wall of the remaining stomach, approximately 3 cm from the cut end along the greater omentum, using a 60 mm endo-stapler (c). The Braun’s anastomosis was performed with a side-to-side anastomosis on the opposite side of the mesentery using a 45 mm endo-stapler (d)