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| Application Effect of Overlap Anastomosis in Laparoscopic Total Gastrectomy for Patients with Gastric Cancer |
| TANG Yanhui, JIA Qijun, SHI Yi |
| Department of General Surgery, Qidong Hospital of Traditional Chinese Medicine, Qidong Jiangsu 226200 |
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Abstract 【Objective】 To explore the application effect of Overlap anastomosis in laparoscopic total gastrectomy for patients with gastric cancer. 【Methods】 The clinical data of 92 patients with gastric cancer admitted to our hospital from May 2019 to May 2024 were retrospectively analyzed. They were divided into an observation group and a control group according to different surgical anastomosis methods, with 46 cases in each group. The observation group was treated with Overlap anastomosis, and the control group was treated with esophagojejunal Roux-en-Y reconstruction. The perioperative indicators, postoperative recovery, pain [Visual Analogue Scale (VAS) score] and complication rate were compared between the two groups. 【Results】 There were no statistically significant differences in esophagojejunal anastomosis time, number of lymph node dissections, incision length and number of stapler cartridges between the two groups (P>0.05); the operation time and intraoperative blood loss in the observation group were lower than those in the control group, with statistically significant differences (P<0.05). The incision recovery time, ambulation time, first anal exhaust time, first feeding time and hospital stay in the observation group were all shorter than those in the control group, with statistically significant differences (P<0.05). The VAS scores of the two groups on the 3rd day after operation were significantly higher than those before operation, with statistically significant differences (P<0.05); there were no statistically significant differences in VAS scores between the two groups before operation and on the 3rd day after operation (P>0.05); the VAS score of the observation group on the 7th day after operation was lower than that on the 3rd day after operation and lower than that of the control group, with a statistically significant difference (P<0.05). The total incidence of complications in the observation group was lower than that in the control group, with a statistically significant difference (P<0.05). 【Conclusion】 Overlap anastomosis in laparoscopic total gastrectomy for gastric cancer patients results in less intraoperative blood loss, better patient recovery, and can reduce the incidence of postoperative complications, which has certain clinical value.
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Received: 06 January 2026
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2026, Vol. 43 
