Figure 3

Procedures of anvil insertion through the OrVil^™system. (A) Making the entry hole at the transected esophageal stump with the ultrasonic shear device. (B) The orogastric tube was introduced into the abdominal cavity. (C) Cutting the thread connecting the anvil shaft and the orogastric tube. (D) Making the reinforcement suture intracorporeally, including the double stapling point.