Totally laparoscopic 95% gastrectomy for cancer: technical considerations

Area of Science:

• Surgical Oncology
• Gastrointestinal Surgery

Background:

• Total gastrectomy is standard for proximal and diffuse gastric cancers.
• Laparoscopic approaches are increasingly adopted for gastrectomy.
• The 95% gastrectomy (G95%) technique was developed to minimize esophago-jejunal anastomosis complications.

Purpose of the Study:

• To describe the step-by-step technique of full laparoscopic 95% gastrectomy (G95%).
• To highlight the oncologic advantages of G95%, including optimized lymph node dissection.

Main Methods:

• Detailed description of the laparoscopic 95% gastrectomy procedure.
• Inclusion of D2 lymphadenectomy with complete cardial node dissection.

Main Results:

• The laparoscopic G95% procedure is feasible and safe in selected patients.
• This technique allows for complete resection of the gastric fundus and optimized lymph node dissection.

Conclusions:

• When oncologic criteria are met, G95% may provide superior short-term results compared to other gastrectomy types.
• Further controlled clinical trials are needed to validate these findings.