Digestive tract reconstruction and its complications after totally laparoscopic gastrectomy for gastric cancer
ZANG Lu
MA Jun-jun
Abstract：The digestive tract reconstruction includes Delta anastomoses (Billroth I), Billroth Ⅱ anastomoses, and gastro-jejunal Roux-en-Y anastomoses in totally laparoscopic distal gastrectomy (TLDG). Billroth I with Delta anastomoses has a strict indication in TLDG. Gastro-jejunal Roux-en-Y anastomoses is now more popular. Billroth Ⅱ with Braun anastomoses and uncut Roux-en-Y anastomoses are technically easier to carry on in TLDG than Roux-en-Y. The digestive tract reconstruction includes anastomoses using linear stapler and circular stapler in totally laparoscopic total gastrectomy (TLTG). Linear stapler has more advantages in TLTG recently because it is a real"total laparoscopy"technique. The GI tract reconstruction in totally laparoscopic gastrectomy has a better visualization and a better working place than the reconstruction in a small incision. With the development of the technique and skill,the complication rate becomes lower recently.
Keywords：gastric cancerlaparoscopydigestive tract reconstructioncomplication
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 369-373 )