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Updated: Nov 4, 2025
Intraoperative Gastroscopy for Tumor Localization in Laparoscopic Surgery for Gastric Adenocarcinoma
Published on: August 9, 2016
[Laparoscopic subtotal distal resection for distal gastric cancer]
M P Postolov1, N V Kovalenko2,1, V V Zhavoronkova2
1Volgograd Regional Clinical Oncology Dispensary, Volgograd, Russia.
Objective:
To analyze the primary experience of laparoscopic distal gastrectomy in patients with distal gastric cancer.
Material And Methods:
There were 21 laparoscopic distal gastrectomies in patients with antrum malignancies. Mean age of patients was 63.7±6.3 years. According to TNM staging system, cancer stage I was detected in 90% of patients (n=19), stage IIa - in 10% (n=2) of patients.
Results:
Duration of distal gastrectomy was 190.4±51.6 minutes, blood loss - 90.3±51.2 ml. The number of harvested lymph nodes was 21.2±5.1. We were able to reach R0 resection edge in all patients. Length of hospital-stay was 7.6±2.3 days, incidence of postoperative complications - 23.8%. Complications Clavien-Dindo grade IIIb-V were observed in 9.5% of patients (n=2). Overall postoperative mortality was 4.7% (n=1). No progression of the underlying disease has been revealed in any patient throughout the follow-up period (since May 2018). To date, the maximum median follow-up is 25 months of overall and disease-free survival.
Conclusion:
Laparoscopic subtotal distal resection is appropriate intervention ensuring R0 resection edge in most cases.
