Long-Term Results and Current Problems in Laparoscopic Gastrectomy: Single-Center Experience

Area of Science:

• Surgical Oncology
• Gastrointestinal Surgery
• Minimally Invasive Surgery

Background:

• Gastric cancer remains a significant global health challenge.
• Laparoscopic gastrectomy offers potential benefits over open procedures.
• Long-term outcomes data for laparoscopic gastrectomy are crucial for clinical practice.

Purpose of the Study:

• To evaluate the long-term oncological outcomes of laparoscopic gastrectomy for gastric cancer.
• To assess survival rates, disease-free survival, and recurrence in patients undergoing this procedure.
• To identify areas for improvement in the standardization of laparoscopic gastric cancer surgery.

Main Methods:

• Retrospective review of 146 patients who underwent laparoscopic gastrectomy for gastric cancer.
• Data collected from January 2014 to September 2019 at Ankara University Medical Faculty.
• Analysis of patient demographics, tumor location, survival, and recurrence rates.

Main Results:

• The study included 146 patients (34.9% female, 65.1% male), with a mean age of 60.9 years.
• The overall survival rate was 72.6%, with a disease-free survival rate of 70.5%.
• Postoperative mortality was 6.2%, and recurrence occurred in 9.6% of patients.

Conclusions:

• Laparoscopic gastrectomy is a feasible and reliable surgical option for gastric cancer.
• Standardization of laparoscopic surgical techniques is essential for consistent clinical results.
• Continued research and training are needed to optimize laparoscopic gastrectomy for gastric cancer.