Laparoscopic Distal Subtotal Gastrectomy with D2 Lymphadenectomy Dissection for Early-Stage Gastric Cancer

Abstract

Aim: Since 1991, laparoscopic surgery has been adopted as part of the treatment of gastric cancer, and it is now performed worldwide. The aim of this video presentation was to present our experience, operative technique and surgical skills with laparoscopic gastric resection for distal, early-stage gastric cancer.Materials and Methods: A 62-year-old female was admitted to our Department of Surgery with anamnesis of epigastric pain. A gastric endoscopy with biopsy and CT scan of the abdomen and pelvis, were performed. An adenocarcinoma located in the lower third of the stomach with suspicion for perigastric lymph node metastasis was diagnosed. Laparoscopic distal subtotal gastrectomy with D2 lymphadenectomy was performed. Results: The duration of the surgery was 205 min, and blood loss was 130 ml. All resected margins were tumor-free and the number of retrieved lymph nodes was 24 (free of metastatic involvement). The postoperative course was without complications and the patient was discharged on the 6th postoperative day.Conclusions: This case demonstrated that the total laparoscopic distal subtotal gastric resection for early-stage gastric cancer had good results. The laparoscopic approach for gastric cancer follows all oncologic principles.