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June 14, 2026JSLS Journal of the Society of Laparoscopic & Robotic Surgeons

Thoracoscopic Intrathoracic Double-Flap Technique for EGJC

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Authors

TOTakeshi OnoYTYorito TamakiTOTakano OHTA

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Overview

Case series demonstrates effective thoracoscopic reconstruction techniques in esophagogastric junction cancer.

Key Points

  • Evaluate the technical feasibility and reproducibility of thoracoscopic intrathoracic double-flap technique (DFT) for esophagogastrostomy.
  • Conducted a case series with six patients undergoing thoracoscopic DFT following laparoscopic proximal gastrectomy and lower esophagectomy.
  • Prepared a seromuscular flap and elevated the remnant stomach into the thoracic cavity for reconstruction.
  • Completed a full-circumference hand-sewn esophagogastrostomy without conversion.
  • All procedures were completed thoracoscopically with no conversion required.
  • Median reconstruction time was 78 minutes.
  • No anastomosis-related complications were observed.

Cite This Study

Ono et al. (2026) studied this question.

synapsesocial.com/papers/6a2e4524b1cc60ccdea8a70dhttps://doi.org/10.4293/jsls.2026.00035
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1327. POSITIVE IMPACT OF THE DOUBLE-FLAP TECHNIQUE FOR RECONSTRUCTION AFTER THORACOSCOPIC/LAPAROSCOPIC OR ROBOT ASSISTED IVOR-LEWIS ESOPHAGECTOMY FOR EGJ CANCER2025
  2. 2P1.251. Minimally Invasive Technique of Esophagojejunal Reconstruction After Extended Total Gastrectomy for OG Junction Cancer2026
  3. 3Non‐Flap Tunnel Technique (<scp>NFTT</scp>): A Novel Minimally Invasive Reconstruction Method After Proximal Gastrectomy for Gastric and Esophagogastric Junction Cancer2025 · 1 citations
  4. 4Introduction of robot-assisted double-flap esophagogastrostomy after proximal gastrectomy: an exploratory comparison with side-overlap reconstruction2026
  5. 5A multi‐center, prospective, clinical study to evaluate the anti‐reflux efficacy of laparoscopic double‐flap technique (<scp>lD‐FLAP</scp> Study)2024 · 16 citations