Reasonable anastomotic mode of upper digestive tract reconstruction by laparoscopy and robotic surgery                      JIANG Zhi-wei, LI Jie-shou, LI Ning. Research Institute of General Surgery, Nanjing General Hospital of Nanjing Military Command, Nanjing 210002, China
Corresponding author: JIANG Zhi-wei, E-mail: surgery34@163.com
Abstract    Fast-track surgery optimizes the perioperative management to enhance the earlier recovery of surgical patients, and is the next revolution in surgical care following laparoscopy. Laparoscopic total gastrectomy (LTG) has not become a commonly performed procedure due to the difficulties associated with using long rigid instruments to perform esophagojejunostomy, which are further constrained by the two-dimensional laparoscopic view. The da Vinci robot surgical system provides 3D visualization, enhanced magnification, and seven degrees of freedom of the instruments to suture and knot in the narrow surgical space. So a robot-sewing anastomosis for esophagojejunostomy reconstruction in robotic total gastrectomy for gastric cancer is feasible with painless and stressless and may be a standard surgical technique.