Selection and strategy of digestive tract reconstruction after laparoscopic gastrectomy

doi:10.3877/cma.j.issn.1674-3946.2023.04.003

Abstract

Abstract:

Recently，with the increasing proportion of adenocarcinoma of esophagogastric junction and upper third gastric cancer，and the maturity and wide application of laparoscopic technology，the digestive reconstruction after laparoscopic total gastrectomy has become a technical hotspot and difficulty in gastric cancer surgery. The selection strategy of reconstruction mode is still worth discussing. Based on the available evidence，the reconstruction strategy is suggested as follows. The use of linear stapler for related digestive reconstruction has certain advantages. Posterior disconnection has certain advantages in technical operation，but its indications should be paid attention to. Anteperistalsis and antiperistalsis can be selected according to the surgeon’s habits. Roux-en-Y anastomosis without pouch is the main reconstruction.

Key words: Gastrectomy, Laparoscopes, Digestive Reconstruction

Ziyu Li, Yinkui Wang. Selection and strategy of digestive tract reconstruction after laparoscopic gastrectomy[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(04): 364-367.

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