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Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer
Published on: October 31, 2025
Laparoscopic gastrectomy with regional lymph node dissection for upper gastric cancer
S Tanimura1, M Higashino, Y Fukunaga
1Department of Gastroenterological Surgery, Osaka City General Hospital, and Osaka City University School of Medicine, Osaka, Japan. stoghjpn@aol.com
The British Journal of Surgery
|October 24, 2006
Summary
Laparoscopic gastrectomy is a safe and effective treatment for upper gastric cancer. This minimally invasive approach offers fast recovery and a low recurrence rate, making it a viable curative option.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Background:
- Presents the technique and outcomes of laparoscopic gastrectomy for upper gastric cancer.
- Evaluates 110 patients with gastric tumors in the upper third of the stomach.
Purpose of the Study:
- To assess the safety and efficacy of laparoscopic gastrectomy for upper gastric cancer.
- To report the surgical technique, outcomes, and recurrence rates.
Main Methods:
- Proximal or total gastrectomy performed laparoscopically.
- D1 and D2 lymph node dissection for T1/T2 lesions.
- Intracorporeal anastomosis using circular staplers or laparoscopic linear staplers.
Main Results:
- Median operating times: 247 min (proximal), 285 min (total).
- Median blood loss: 207 ml (proximal), 334 ml (total).
- Low morbidity, rapid recovery, and a 0.9% recurrence rate.
Conclusions:
- Laparoscopic gastrectomy is a safe and curative procedure for upper gastric cancer.
- Minimally invasive approach demonstrates favorable outcomes and low recurrence.
