Side-to-side esophagojejunostomy after 4K laparoscopic total gastrectomy
	    		
		   		
		   			
		   		
	    	
    	 
    	10.3760/cma.j.cn115610-20200428-00307
   		
        
        	
        		- VernacularTitle:4K腹腔镜全胃切除术食管空肠侧侧吻合消化道重建
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Su YAN
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Xinfu MA
			        		
			        		;
		        		
		        		
		        		
			        		Kang ZHAO
			        		
			        		;
		        		
		        		
		        		
			        		Xiaoqian CHEN
			        		
			        		;
		        		
		        		
		        		
			        		Can GUO
			        		
			        		;
		        		
		        		
		        		
			        		Liang WANG
			        		
			        		;
		        		
		        		
		        		
			        		Chenghao LIU
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. 青海大学附属医院胃肠肿瘤外科,西宁 810001
			        		
		        		
	        		
        		 
        	
        	
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Gastric neoplasms;
			        		
			        		
			        		
				        		Total gastrectomy;
			        		
			        		
			        		
				        		Digestive tract reconstruction;
			        		
			        		
			        		
				        		Esopha-gojejunostomy;
			        		
			        		
			        		
				        		Side-to-side anastomosis;
			        		
			        		
			        		
				        		4K resolution;
			        		
			        		
			        		
				        		Laparoscopy
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			Chinese Journal of Digestive Surgery
	            		
	            		 2020;19(S1):92-96
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	Digestive tract reconstruction with side-to-side esophagojejunostomy is one of the most commonly used digestive tract reconstruction methods after laparoscopic total gastrectomy. It does not need an auxiliary incision. The linear stapler is used to directly enter the abdominal cavity through the Trocar to perform side-to-side anastomosis of esophagojejunostomy. The common hole can be closed by hand suture or linear stapler. 4K laparoscopy can present a clearer and more realistic view to the operators, so as to realize side-to-side esophagojejunostomy more accurately, to reduce the postoperative anastomo-tic related complications and improve the safety of the operation. This article will elaborate the technical key points and difficulties of esophagojejunostomy in 4K laparoscopic total gastrectomy, as well as the prevention and treatment of anastomotic related complications.