Abstract:

Standardization and technical tips in totally laparoscopic gastrectomy for gastric cancer        HUANG Chang-ming，LIN Jian-xian. Department of Gastric Surgery，Fujian Medical University Union Hospital，Fuzhou 350001, China
Corresponding author: HUANG Chang-ming, E-mail：hcmlr2002@163.com
Abstract    The application of laparoscopic gastrectomy for gastric cancer has more than 20 years. With the development of technology and equipment，on the basis of the guarantee a radical cure and effect of minimally invasive surgery，to improve the quality of patient's life，more and more centers have carried out the laparoscopic radical gastrectomy for gastric cancer. The standardization of totally laparoscopic radical gastrectomy is according to the open surgery. For a completely lymph node dissection，surgeons need be familiar with the normal anatomy and variation of the blood vessels around the stomach，select the appropriate surgical approach，perform the operation step by step and with the help of team cooperation. At the same time，it is very important of postoperative digestive tract reconstruction. It needs to choose the right cases and method to carry out the totally laparoscopic digestive tract reconstruction，in order to make an better advantage of minimally invasive surgery for gastric cancer.

Key words: laparoscope, gastric cancer, radical surgery, digestive tract reconstruction

摘要：

腹腔镜技术在胃癌根治术中的应用已有20余年。随着技术的进步和器械的发展，在保证肿瘤根治的基础上尽可能实现微创效果，提高病人的生活质量，越来越多的中心开展了全腹腔镜下胃癌根治术的探索。而规范化的全腹腔镜胃癌根治术的实施，需要术者遵循开腹胃癌根治手术的要求，熟识胃周血管的正常解剖及变异，选择合适的手术入路，并采用程序化的手术步骤和团队配合，以获得彻底淋巴结清扫。同时，应重视病人术后的消化道重建，选择合适的病例和方法开展全腹腔镜下的消化道重建，以更好地发挥腹腔镜的微创优势。

关键词: 腹腔镜, 胃癌, 根治术, 消化道重建