成功的胃肠道肿瘤手术由两个要素构成:①完整的病灶切除和彻底的淋巴结清扫;②安全有效的消化道重建。前者事关肿瘤根治的效果,一直是外科医师重视的焦点,而后者涉及病人能否在术后平稳恢复和生活质量良好,同样是外科医师的重要目标,两者相辅相成,缺一不可。腹腔镜胃肠手术中的组织分离、病灶切除和淋巴结清扫技术已基本完善和成熟,并日趋规范。消化道重建则往往受到手术习惯、手术操作难度等影 Successful gastrointestinal cancer surgery consists of two elements: ① complete resection of the lesion and complete lymph node dissection; ② safe and effective reconstruction of the digestive tract. The former relates to the effect of tumor radicalization, which has always been the focus of attention by surgeons. The latter involves whether the patients can recover smoothly and have a good quality of life after surgery. It is also an important goal of the surgeon, and the two are mutually reinforcing and indispensable. Laparoscopic gastrointestinal surgery in tissue separation, resection of the lesion and lymph node dissection technology has been basically complete and mature, and increasingly standardized. Digestive tract reconstruction is often subject to surgery habits, surgical operations and other difficult shadow