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Related Experiment Video

Updated: Jul 8, 2026

Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer
05:30

Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer

Published on: October 31, 2025

[Total gastrectomy and systematic lymphadenectomy complications].

Zijah Rifatbegović1, Deso Mesić

  • 1Hirurska Klinika, Odjel za Abdominalnu Hirurgiju, Univerzitetski Klinicki Centar Tuzla. zijahr@inet.ba

Medicinski Arhiv
|January 5, 2008
PubMed
Summary

Radical total gastrectomy with lymphadenectomy is standard for stomach cancer. However, D2/D3 lymphadenectomy significantly increases postoperative complications and mortality, necessitating careful consideration.

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Area of Science:

  • Oncological surgery
  • Gastrointestinal surgery

Context:

  • Stomach carcinoma incidence is rising globally.
  • Early diagnosis and surgical intervention are crucial for improving patient prognosis.
  • Radical total gastrectomy (R0) with systematic lymphadenectomy (D2) is the established standard for resectable gastric tumors.

Purpose:

  • To analyze the frequency, variety, and management of complications associated with radical total gastrectomy and lymphadenectomy.
  • To evaluate the impact of D2 and D3 lymphadenectomy on postoperative outcomes.

Summary:

  • A study of 58 patients undergoing radical total gastrectomy with lymphadenectomy revealed significant complication rates.
  • The most common abdominal complication was esophagojejunal anastomosis dehiscence (19.0%), and the most frequent extra-abdominal complication was deep vein thrombosis (6.8%).

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Last Updated: Jul 8, 2026

Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer
05:30

Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer

Published on: October 31, 2025

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
03:32

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment

Published on: December 27, 2024

  • Postoperative mortality rates were 10.3% at 30 days and 6.8% at 90 days, with statistically significant increases in mortality and morbidity observed in patients undergoing systematic D2 and D3 lymphadenectomy (p < 0.05).

    • Impact:

    • Findings highlight a higher risk of complications and mortality with more extensive lymphadenectomy (D2/D3) in gastric cancer surgery.
    • Results suggest a need for re-evaluation of lymphadenectomy extent in surgical protocols for stomach carcinoma.
    • Improved understanding of complication patterns can guide surgical decision-making and enhance patient care in gastric cancer treatment.