Reconstruction following laparoscopic gastrectomy for gastric cancer

In recent years, laparoscopic gastrectomy for gastric cancer has boomingly developed in China. Surgical procedures include adequate surgical margin, radical lymphadenectomy and digestive tract reconstruction, while the latter is a key procedure for laparoscopic gastrectomy. Reconstruction procedures such as Billroth I, Billroth II and Roux-en-Y anastomosis are widely used in laparoscopy-assisted distal gastrectomy, while esophagojejunostomy by Roux-en-Y reconstruction is a reasonable option for laparoscopy-assisted total gastrectomy. Esophagogastrostomy is mainly used in laparoscopy-assisted proximal gastrectomy, and gastric tube reconstruction is an alternative procedure to decrease the gastroesophageal reflux. A small incision is usually used to facilitate the reconstruction, which has a less cost and easier manipulate, and is recommended in current China.