Analysis of Digestive Tract Reconstruction after Totally Laparoscopic Total Gastrectomy

Objective This study analyzed the safety and short-term efficacy of digestive tract reconstruction after totally laparoscopic total gastrectomy. Methods Clinical and pathological data of 36 patients with gastric cancer after totally laparoscopic total gastrectomy were retrospectively analyzed. Results 36 cases of patients underwent the transorally inserted anvil （OrVil^TM）, Overlap side to side anastomosis, functional end-to-end anastomosis （FETE）, reverse puncture device to complete the esophagojejunostomy reconstruction. The mean reconstruction time was 58.0 min and blood loss was 137.7 mL, average postoperative hospitalization period was 9.8 days, exhaust time was 2.5 days and consumption of liquid diet was 4.9 days. Among the 36 cases, 1 case had anastomotic bleeding, 2 had anastomotic leakage, 1 had anastomotic leakage, 1 had chyle leakage and 1 had incisional wound infection, the overall complication rate was 16.7%. Conclusion Totally laparoscopic total gastrectomy has acceptable digestive tract reconstruction time, bleeding volume, postoperative recovery and complication rate. It has been proven to be safe and effective, and can be performed in experienced centers.