Figure 2.

Anastomosis of the cervical portion. A, Posterior suture: perform interrupted suturing of the esophageal outer membrane, muscle layer and gastric seromuscular layer from the left to right side using about 10 needles. B, Lift and pull only the left and right ends of sutures and cut the remaining sutures. C, Perform running suture of the esophageal membrane and gastric membrane from the center to left side and ligate with suture thread that is inserted from the outer to inner and inner to outer side at the edge of the left side. Next, perform running suture from the center to the right side and suture the edge similarly. At this point, both ends look like a fish mouth. D, Anterior suture: perform interrupted suture with modified Gambee's anterior suture using about 7‐8 needles