A total or nearly total gastrectomy was performed in 30 patients with adenocarcinoma of the stomach. The continuity of the alimentary tract was restored by end-to-side esophagojejunostomy or gastrojejunostomy using a Roux-Y and all the cases had one layer extramucosa suture with 3-0 mononylon. The complications were: one case of left subphrenic abscess; one case of anastomotic leakage (esophagojejunum anastomosis); 2 cases of abdominal wound infection. Surgical mortality was 0%.