本文梳理腹腔镜胃癌根治术后常见并发症的发作特征、诱发危险因素及可行防治举措和配套管理策略，为减少并发症出现概率、提升患者术后恢复质量提供循证参考。

本文整理归纳近5年已公开的相关研究文献，采用文献计量学与循证医学方法对比分析法，分析并发症的具体分类、风险因素，归纳可行防控路径及配套管理方案。

接受腹腔镜胃癌根治术患者的术后并发症整体发生概率为18.3%~27.6%（Meta分析合并效应量OR=0.280，95%CI: 0.190~0.420，P<0.001），临床高发并发症包括感染、吻合口相关、腹腔出血、胰瘘等；患者个人因素、手术过程相关诱因和围手术期管理都属于并发症出现的独立风险变量（P均<0.05）；搭建规范化三级防治体系，可降低并发症发生概率（干预组12.3% vs.对照组26.7%，χ²=14.520，P<0.001）。

接受腹腔镜胃癌根治术的患者术后并发症受多类变量影响，搭建全流程防控体系搭配个体化干预方案，是减少并发症、保证手术效果、优化患者术后恢复质量的核心支撑。

This study aims to summarize the onset characteristics, risk factors, feasible prevention measures, and corresponding management strategies of common complications after laparoscopic radical gastrectomy for gastric cancer, providing evidence-based references for reducing the occurrence probability of complications and improving the postoperative recovery quality of patients.

This study collated and summarized relevant research literature published in the past 5 years. Using bibliometric, evidence-based medicine, and standardized statistical methods, the specific classification of complications, risk factors were systematically analyzed, and feasible prevention paths and corresponding management plans were summarized.

The overall incidence of postoperative complications in patients undergoing laparoscopic radical gastrectomy for gastric cancer ranged from 18.3% to 27.6% (Meta-analysis combined effect size OR=0.280, 95% CI: 0.190~0.420, P<0.001). The most common clinical complications included infectious, anastomotic-related, intra-abdominal bleeding, and pancreatic fistula, etc. Personal variables of patients, surgical process-related triggers, and perioperative management all belong to independent risk variables for the occurrence of complications (all P < 0.05); Establishing a standardized three-level prevention system can reduce the incidence of complications (intervention group 12.3% vs. control group 26.7%, χ²=14.520, P<0.001). Conclusion: This study found that the postoperative complications of patients undergoing laparoscopic radical gastrectomy for gastric cancer are influenced by multiple variables.

Establishing a full-process prevention system combined with individualized intervention plans is the core support for reducing complications, ensuring surgical outcomes, and optimizing the postoperative recovery quality of patients.