Advances of endoluminal reconstruction of digestive tract in totally laparoscopic total gastrectomy / 国际外科学杂志

ABSTRACT

With the improvement of laparoscopic instruments and laparoscopic surgical techniques, Abdominal minimally invasive surgery has developed rapidly, and laparoscopic gastric cancer surgery is also gradually becoming mature. For upper stomach cancer, gastric corpus cancer, linitis plastica, total laparoscopic total gastrectomy (TLTG) as a minimally invasive operation is widely used in clinical treatment of gastric cancer. Smaller surgical trauma, faster recovery, significantly increased perioperative quality of patients’ life. The technical points and difficulties of TLTG are how to complete digestive tract reconstruction under full laparoscopic monitoring. Totally laparoscopic esophagus jejunum anastomosis is a key problem for TLTG digestive tract reconstruction. Therefore, to explore the way of TLTG digestive tract reconstruction has become the focus of clinical researchers. The article will review the common surgical methods of TLTG digestive tract reconstruction in order to provide a better reference for the selection of clinical surgical methods.