Abstract
INTRODUCTIION: Laparoscopic surgery been used em multiple procedures because as is well known has advantages over surgery open as the fastest shorter Recovery, faster intestinal functioning Return, Best immunological and Cosmetics response, decreased need for analgesics, Paralytic ileus, early oral via Home and Shorter hospitalization, being should be standardized laparoscopic techniques. ideally, the risk of recurrence and survival Impact finally is the goal of any new intervention that arises evaluate. OBJETIVE: Evaluation of minimally invasive surgery in the staging of gastric cancer and palliative treatment of advanced gastric cancer. Its considered that laparoscopic surgery has functions in both the Diagnostic and Surgery Palliative and of course Curative surgery in laparoscopic Staging by: evaluation of resectability and metastasis as has been clearly described in gastric cancer where results are similar to conventional cirurgia because the number of nodes removed, tumor-free margins and even the size of the surgical specimen are equal. In selected cases, a laparoscopic approach is reasonable as long as the surgeon laparoscopic lot of skill and experience. MATERIAL AND METHODS: 50 cases of laparoscopic management of advanced gastric cancer were evaluated diagnostic laparoscopy was performed, verifying findings unresectability as ascits, metastasis, liver, peritoneal carcinomatosis. All patients for palliative pain management celiac neurolysis was performed complex without any complications, biopsies were taken, 20 (40%) patients underwent palliative bypass laparoscopically gastroenteroanastomosis no known complications, no intraoperative mortality was presented. operative half time 60 minutes. DISCUSSION / CONCLUSION: The minimally invasive approach in patients with advanced gastric cancer is a reliable strategy for safe and reproducible palliative management of these patients.Figure
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