Abstract
Background: To explore acceptability of laparoscopic approach for radical D2-gastrectomy, and to assay early results for gastric cancer patients. At present time, many studies showed equal oncological results between conventional surgery and laparoscopic approach for gastric cancer. Methods: We performed our own experience of laparoscopic gastrectomy for 22 gastric cancer patients. All operations were performed on base of “LISSOD” cancer hospital in 2011-2012. Mean age was 57.9 years, 15 men, 7 women; with stage I–1, II–5, 3A–9, 3C–7, after neoadjuvant treatment (ECC) - 17. All patients were performed laparoscopic total gastrectomy with Roux-en-Y anastomosis and D2-lymphnodedissection. Results: Mean operation time was 284 minute (range 168-420 minutes), mean intraoperative blood loss 190 ml (range 50-1100 ml). Mean time of hospital stay was 9,9 days (range 6-19 days), 8,8 days after surgery. Mean number of resected lymph nodes was 19,6. All patients had R0 resection margins. It was no any lethal cases. Complication: hemorrhage-1, pneumonia-4, PE-2, bypass failure-1, abdominal abscesses - 2. No local recurrences with 2 disease progression. Conclusion: Laparoscopic gastrectomy with D2-lymph node dissection is acceptable and safe method for patients with gastric cancer. It has all advantages of laparoscopic approach in early postoperative period. Long term oncological results will be assayed later.
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