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Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer
Published on: October 31, 2025
Laparoscopic gastric surgery in an enhanced recovery programme
1Division of General Surgery, St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada. grantcharovt@smh.toronto.on.ca
The British Journal of Surgery
|July 29, 2010
Summary
Laparoscopic gastric surgery combined with enhanced recovery protocols significantly shortens hospital stays. This approach demonstrates low complication rates and minimal morbidity for patients undergoing gastric resection.
Area of Science:
- Minimally invasive surgery
- Gastrointestinal surgery
- Surgical oncology
Background:
- Laparoscopic surgery offers advantages over open surgery, including reduced pain and organ dysfunction.
- Enhanced recovery programs (ERPs) improve patient outcomes, decreasing morbidity and hospital stay.
- The combined effect of laparoscopic resection and ERPs in gastric surgery remains underexplored.
Purpose of the Study:
- To evaluate the outcomes of combining laparoscopic gastric resection with an enhanced recovery protocol.
- To assess the impact on length of hospital stay, complication rates, readmissions, and mortality.
Main Methods:
- Prospective study of 32 patients undergoing laparoscopic gastric resection.
- Implementation of a strict enhanced recovery protocol: early oral intake, no drains/nasogastric tubes, no epidural analgesia, short-term urinary catheterization.
- Planned discharge within 72 hours post-surgery.
Main Results:
- Median hospital stay was 4 days (range 2-30 days).
- Two major complications occurred: postoperative bleeding and pulmonary embolism.
- Two patients were readmitted for wound abscess and urinary tract infection; no 30-day mortality.
Conclusions:
- Laparoscopic gastrectomy integrated with enhanced postoperative recovery is safe and effective.
- This combined approach leads to a significantly short hospital stay and a low morbidity rate.
