关键词: 腹腔镜胃癌根治术, 吻合口漏, 腹腔感染, 手术治疗

Abstract: Progress in prevention and treatment of anastomotic leakage after laparoscopic radical gastrectomy for gastric cancer        WANG Quan，XIA Ming-jie. Department of Gastric and Colorectal Surgery，General Surgery Center,the First Hospital of Jilin University,Changchun 130000, China
Corresponding author：WANG Quan，E-mail:wquan@jlu.edu.cn
Abstract    Anastomotic leakage is one of the most common complications after laparoscopic radical gastrectomy for gastric cancer.Early diagnosis and standardized management are crucial for preventing abdominal infection aggravating.Most anastomotic leakage without infection symptoms can be healed through conservative management measures including fluid therapy nutritional supplement, multiple drainage, and reasonable antibiotics.The emergence of new technologies such as endoscopic clipping, drainage and occlusion provides more options for the treatment of anastomotic leakage, but endoscopic treatment should strictly grasp the treatment opportunity and indications to avoid aggravating the injury of the anastomotic tract.If the infection aggravates during the process, surgical procedures treatment should be taken in time.The surgery for anastomotic leakage does not need to pursue one-stage suturing. The main objective is to clear the infected, achieve complete drainage，and establish the enteral nutrition pathway.

Key words: laparoscopic radical gastrectomy, anastomotic leakage, abdominal infection, surgical procedures