![]() ![]() Postal classic and uncut controls how to#However, no definitive consensus is currently available regarding how to choose among the various methods. Digestive tract reconstruction is a key technique in laparoscopic surgery. ![]() In addition to the improved survival, quality of life (QoL) attracted more attention, and total laparoscopic surgery has gained widespread global popularity owing to its well-known benefits, such as reduced surgical trauma, decreased pain, low rates of morbidities, and a shorter length of hospital stay. These technical summaries based on the surgeon’s clinical experience made lymph node dissection standardized with reliable quality. Various new laparoscopic lymph node dissection procedures were reported and have been shown to achieve pathologically reliable lymphadenectomy during this development process. The results of these RCTs were expected to establish concrete evidence of the widely carried out LG in the treatment of AGC. Three multicenter trials, the JLSSG 0901, CLASS-01, and KLASS-02 trials, are current large-scale randomized controlled trials (RCTs) to obtain evidence-based oncological outcomes of LG for advanced GC (AGC). Presently, the main indication for laparoscopic gastrectomy (LG) is early GC because recent studies have shown that the oncologic outcomes of LG were comparable to those of open surgery. GC surgery has gradually changed from open to laparoscopic-assisted and ultimately to total laparoscopic during the past 20 years. Kitano et al first reported a case of laparoscopic-assisted distal gastrectomy in 1994. GC patients demonstrate reliable survival results due to the implementation of D2 lymphadenectomy, which has become the cornerstone of GC treatment in the past decades. Gastric cancer (GC) remains a disease with high incidence and mortality worldwide. We focus on the technical tips of every reconstruction procedure and examine the surgical outcomes (length of surgery and blood loss) and postoperative complications (anastomotic leakage and stricture) to facilitate gastrointestinal surgeons to understand the merits and demerits of every reconstruction procedure. According to the determining influence of the tumor site on the procedures of surgical resection and reconstruction, we divide these reconstruction procedures into three categories consistent with the resection procedures. In this review, the current state of digestive tract reconstruction after LG is reviewed. ![]() Presently, no consensus exists regarding the optimal reconstructive procedure. ![]() Surgical resection and lymphatic dissection determine long-term survival however, the election of a reconstruction procedure determines the postoperative quality of life for patients with gastric cancer (GC). In addition to the popularity of laparoscopic gastrectomy (LG), many reconstructive procedures after LG have been reported. ![]()
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