Abstract:

The current situation and development prospect of digestive tract reconstrution after totally laparoscopic gastrectomy for gastric cancer        LI Guo-xin， CHEN Tao. Department of General Surgery，Nanfang Hospital，Southern Medical University，Guangzhou 510515， China
Corresponding author：LI Guo-xin，E-mail：gzliguoxin@
163.com
Abstract    Laparoscopic gastrectomy has become widely used as a minimally invasive technique for the treatment of gastric cancer in the world. When it was introduced firstly，most surgeons preferred a laparoscopic-assisted approach with a mini-laparotomy rather than a totally laparoscopic procedure because of the technical challenges of achieving an intracorporeal anastomosis. Recently，with the development of skills and instruments，several surgeons have reported the safety and feasibility of a totally laparoscopic gastrectomy with intracorporeal anastomosis. However, higher level of evidences are needed for the evaluation of long-term oncologic efficacy. In the future，it’s possible for patients to best benefit from the totally laparoscopic surgery with minimal trauma，safe anastomosis under the principle of radical treatment of gastric cancer.

Key words: gastric neoplasm, intracorporeal anastomosis, laparoscopy, digestive tract reconstrution

摘要：

目前，腹腔镜胃癌根治术已经在国内外得到了广泛开展。大多数胃外科医生在腹腔镜下完成胃周淋巴结清扫后，会采用小切口进行消化道重建。随着腹腔镜技术经验的积累和器械的发展，腹腔镜下消化道重建越来越受到胃外科医生关注。目前，全腹腔镜胃癌根治术的安全性和可行性已得到了初步证实，长期肿瘤学疗效的评价有待更高级别证据支持。随着科学的进步，全腹腔镜胃癌根治术在不断改进与发展。在保证肿瘤根治性前提下，以最少的创伤与最安全的吻合给病人带来最大获益是全腹腔镜手术发展方向。

关键词: 胃肿瘤, 腔内吻合, 腹腔镜, 消化道重建