Chinese expert consensus on prevention and treatment of complications related to digestive tract reconstruction after laparoscopic radical gastrectomy for gastric cancer (2022 edition)

Abstract

According to the different tumor locations and stages of gastric cancer, distal radical gastrectomy, radical total gastrectomy and proximal radical gastrectomy for gastric cancer are respectively selected in clinical practice. Regardless of the type of radical gastrectomy, digestive tract reconstruction is of great importance to gastrectomy, and it is also susceptible to related surgical complication. The occurrence of surgical complications directly affects the efficacy and postoperative quality of life, and even leads to death, resulting in serious consequences of giving up all previous efforts! Therefore, in the era of laparoscopic surgery, how to safely perform digestive tract reconstruction to reduce the occurrence of related complications, and how to properly and effectively deal with complications will be helpful to improve the overall level of gastric cancer treatment in China. This consensus is mainly aimed at the complications that occur during the process of digestive tract reconstruction and in the recent postoperative period. From the aspects of causes, preventive measures and treatment measures, after extensive review of data and combination with clinical practice, the opinions of domestic authoritative experts have been repeatedly collected and discussed. Finally, an expert consensus was formed, which provided an effective reference for Chinese surgeons to improve the prevention and treatment of complications of gastrointestinal reconstruction after radical resection of gastric cancer.