Laparoscopic surgery for gastric tumor: a single-center experience

Özet

Introduction: The advantages of minimally invasive surgery compared to open surgery have led to increaseduse in recent years. Although there are concerns that the appropriate oncological results may not be obtained in cases of stomach cancer as a result of technical difficulties, a laparoscopic gastrectomy is oftenpreferred to open gastrectomy. The Far East is currently leading in this field. The aim of this paper was toshare the results of laparoscopic gastrectomy performed for stomach tumors.Materials and Methods: A retrospective study was performed of patients who had a laparoscopic gastrectomy for a gastric tumor in 1 clinic between September 2016 and April 2018. Patient characteristics, tumorfeatures, surgical approach, postoperative follow-up, and oncological outcomes were evaluated.Results: Gastric resection was performed in 66 patients. Laparoscopic surgery was performed in a totalof 19 patients. Nine patients underwent laparoscopic total gastrectomy, 8 patients underwent laparoscopic distal gastrectomy, and laparoscopic wedge resection was performed in 2 cases. In 16 patients,D2 dissection was performed. The surgical margin and lymph node number were found to be compatiblewith oncology principles. In the postoperative period, mortality occurred in 2 patients, and anastomosisleakage in 1 patient. The mean length of stay in hospital was 9.8 days and the mean follow-up period was9.1 months.Conclusion: Although the number of cases was small and the follow-period was short, the results obtainedfrom laparoscopic surgery applied to patients with a stomach tumor were considered to be compatible withthose of open surgery and with oncology principles.