FORMATION OF ESOPHAGOEJUNOANASTOMOSIS DURING LAPAROSCOPIC GASTRECTOMY (REVIEW OF THE LITERATURE)

А.А. Valiev1, R.Sh. Khasanov2,3, L.L. Galimova4, L.G. Karpenko2

1Republican Clinical Oncology Dispensary of Ministry of Healthcare of Tatarstan Republic named after prof. M.Z. Sigal, Kazan

2Kazan State Medical Academy ― Branch Campus of the FSBEI FPE RMACPE MOH Russia, Kazan

3Volga branch of the National Medical Research Center of Oncology named after N.N. Blokhin, Kazan

4Kazan State Medical University, Kazan

Valiev Amir A. — Cand. of Sci. (Med.), oncologist, head of department №9 of the Republican Clinical Oncology Dispensary of Ministry of Healthcare of Tatarstan Republic named after prof. M.Z. Sigal

31 Sibirskiy trakt, Kazan, 420029, Russian Federation, tel.: (843) 202-24-16, +7-903-343-71-89, e-mail: v.amir2014@yandex.ru, ORCID ID: 0000-0002-7499-500X

Abstract. According to literature, a total of 1 089 103 (6%) cases of gastric cancer (GC) were recorded in 2020 (occupied fifth place). In Russia, this entity ranks sixth (5,8%) amongst the overall oncological diseases. The burden of GC varies geographically, being maximum in countries like Russia, Japan, Chile, Korea and China, and lowest in New Zealand, Australia and the USA. Since surgery is the mainstay for the treatment of gastric cancer, a lot of new surgical techniques are being developed. Laparoscopic gastrectomy (LGE) has been promising and is being put in forefront of these techniques. An important aspect of gastrectomy is the formation of esophagojejunal anastomoses (EJA). However, the problem is the lack of a common standard for laparoscopic reconstruction of the digestive tract. The high cost of equipment, a small number of trained teams also limit LGE to take the leading role in the treatment of GC. Various techniques of EJA, their results and possible complications will be compared in this review.

Key words: stomach cancer, laparoscopic gastrectomy, esophagojejunal anastomosis.