Abstract: In recent years, laparoscopic total gastrectomy (LTG) with lymphadenectomy is increasingly utilized for the management of gastric cancer located in the middle or upper third of the stomach. However, esophagojejunostomy is the key technical difficulty in operation. Compared with conventional extracorporeal esophagojejunostomy via minilaparotomy, pioneers are attempting to perform intracorporeal anastomosis in order to gain better manipulation and minimally invasive benefits, as well as reducing the difficulties in digestive tract reconstruction.