Fig. 1

a: The posterior wall of esophagus and the posterior wall of gastric conduit aligned and two stay sutures applied. b: The posterior wall of the anastomosis constructed by using an Endo GIA™ loaded with 60 blue cartridge fired vertically. c and d: The lateral sides of anastomosis pulled up by two backups and a 60-mm linear stapler (Endo-GIA60–3; Covidien) fired horizontally to close the anterior wall of the anastomosis