Abstract: With the development of laparoscopic instruments and surgery technology, the application of totally laparoscopic digestive tract reconstruction is more and more widely in the minimally invasive surgery of gastric cancer. Separation of gastric ligament tissue, dissection of lymph node, and digestive tract reconstruction under total laparoscopy can reduce surgical trauma and incisions. In particular for patients with rib arch narrow and obesity, totally laparoscopic radical gastrectomy for gastric cancer has more obvious advantages. However, due to difficult surgical operation and high technical requirements, totally laparoscopic gastrectomy for gastric cancer need strictly following the basic principles of digestive tract reconstruction, controlling the indications and contraindications, and evaluating intraoperative quality control, which is recommended to be carried out in medical centers with rich experience in laparoscopic gastric cancer surgery. The authors investigate technology and development of digestive tract recon-struction in totally laparoscopic radical gastrectomy for gastric cancer based on relevant literatures and their clinical practice.