全腹腔镜下的胃癌根治术在牵拉、暴露和手术视野等方面较腹腔镜辅助更有优势,微创效果更佳~([1-4])。因此,越来越受到腹腔镜外科医师的关注。然而,对于行远端胃大部切除的胃癌病人,全腹腔镜下的胃十二指肠吻合一度被认为存在技术上的难点。Kanaya等~([5])提出了全腹腔镜下远端胃癌根治术Delta吻合(delta-shaped gastroduodenostomy,DSG),该技术完全在腹腔镜下应用直线切割闭合器完成残 Total laparoscopic radical gastrectomy has advantages over laparoscopic assistance in traction, exposure and surgical field, and is more effective in minimally invasive surgery (1-4). Therefore, more and more laparoscopic surgeon’s attention. However, total laparoscopic gastroduodenal anastomosis was once considered technically difficult for gastric cancer patients undergoing distal gastrectomy. Kanaya et al. ([5]) proposed a total laparoscopic radical gastrectomy for distal gastric cancer with delta-shaped gastroduodenostomy (DSG). The technique was completed by laparoscopic linear incision closure