关键词: 胃肿瘤, 腹腔镜, 食管空肠吻合

Abstract: Exploration of "piggyback" esophagojejunal Overlap anastomosis in digestive tract reconstruction after total laparoscopic gastrectomy        LIU Hao*，SHEN Zhen-bin. *Department of Gastrointestinal Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China; Department of General Surgery, Zhongshan Hospital, Fudan University (Xiamen Branch), Xiamen 361015, China
Corresponding author： SHEN Zhen-bin, E-mail:shen.zhenbin@zs-hospital.sh.cn
Abstract    Objective    To discuss the feasibility and safety of the “piggyback” esophagojejunal Overlap anastomosis in total laparoscopic gastrectomy.Methods    A descriptive series of research methods were used to retrospectively collect the clinical and pathological data of 6 patients with proximal gastric cancer who underwent “piggyback”esophagojejunal Overlap anastomosis in the Gastrointestinal Department of Zhongshan Hospital, Fudan University from April 2023 to July 2023. The postoperative recovery, intraoperative, and postoperative complications of the patients were analyzed. Results All 6 patients successfully underwent total laparoscopic gastrectomy（piggyback esophagojejunal Overlap anastomosis）without any conversion to open surgery. The mean surgical time was （233.2±19.4） minutes; The mean esophagojejunal anastomotic reconstruction time was （17.5±2.0） minutes and themean intraoperative bleeding volume was （68.5±17.5） mL. The postoperative patients recovered well without any complications related to the anastomosis; One patient underwent interventional ultrasound-guided drainage for postoperative pleural effusion, with a total complication rate of 16.7%. The mean time for a liquid diet after surgery was （2.7±0.4） days, and the mean postoperative hospitalization time was （6.7±0.4）days. Conclusion    The “piggyback” esophagojejunal Overlap anastomosis is a convenient, safe, and feasible method for gastrointestinal reconstruction after total laparoscopic gastrectomy.

Key words: stomach tumor, laparoscopic, esophagojejunal anastomosis