Abstract: The digestive tract reconstruction after laparoscopic total gastrectomy has always been a hotspot but a difficult subject as well in gastric cancer surgery. The clinical technical characteristics and advantages of different digestive tract reconstruction methods by using linear stapler, circular stapler or hand-sewn anastomosis in laparoscopic surgery have formed consensuses. However, there is still insufficient clinical evidence for the safety evaluation of different digestive tract reconstruction methods. Combined with current clinical research progress and their clinical practice, the authors summarize and investigate the status and methods of safety evaluation of common digestive tract reconstruction after laparoscopic total gastrectomy.