LAPAROSCOPIC GASTRECTOMY IN THE TREATMENT OF GASTRIC CANCER: ANALYSIS OF THE FIRST 60 OPERATIONS

Background and aim. Laparoscopic gastrectomy for the treatment of early gastric cancer has been recognized and is now regarded as a suitable alternative to open surgery. The goal of this study is to review our experience in performing totally laparoscopic gastrectomy for the treatment of both early and advanced gastric cancer.

Methods. A retrospective study was conducted to examine short-term outcomes of laparoscopic gastrectomy performed atLISODCancerHospital between January 2011 and December 2014.

Results. Sixty patients were included in the study. There were 45 total and 15 subtotal gastrectomies with D2-lymphodissection. Among them 55 (91.7%) operations were done for AGC. The mean operating time was 285 minutes for total gastrectomy and 248 — for subtotal. Thirty-day morbidity was 31.7% (19 patients) and mortality — 1.7% (1 patient).

Conclusions. Laparoscopic gastrectomy with D2-lymphodissection is safe method for the treatment of gastric malignancy with acceptable perioperative outcomes.