Prevention and treatment of hemorrhagic complications in the laparoscopic radical gastrectomy

Abstract

Intraoperative hemorrhage is the most common complication of laparoscopic radical gastrectomy, which is also the main cause of conversion to open surgery. With the popularization of laparoscopic surgery technology worldwide, how to complete high-quality surgery and effectively avoid intra-operative or postoperative complications is the goal pursued by all surgeons. Intraoperative hemorrhage in the laparoscopic radical gastrectomy is mainly divided into parenchymal hemorrhage, perigastric vascular injury-induced hemorrhage, lymph node hemorrhage and anastomotic bleeding. Compression, electrocoagulation, vascular clipping and vascular suture repair are the most common treatments for intraoperative hemorrhage. It is necessary to use above methods in clinical work. Proficiency in laparoscopic operation skills, familiarity with perigastric vascular anatomy and variation, and improved teamwork to reduce complications are the key to laparoscopic surgery for gastric cancer. Combined with literature reports, the authors summarize experience in laparoscopic surgery for gastric cancer, discuss the prevention and treatment of hemorrhagic complica-tions during laparoscopic radical gastrectomy. Key words: Gastric neoplasms; Gastric cancer; Hemorrhage; Complication; Laparoscopy