Related Experiment Video
Updated: Oct 25, 2025
Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
Published on: December 27, 2024
[Laparoscopic subtotal distal gastrectomy for distal gastric cancer]
M P Postolov1, N V Kovalenko2,1, V V Zhavoronkova2
1Volgograd Regional Clinical Oncology Dispensary, Volgograd, Russian Federation.
Objective:
To analyze the primary results of laparoscopic distal gastrectomy in patients with distal gastric cancer.
Material And Methods:
There were 21 laparoscopic distal gastrectomies in patients with distal gastric cancer. Mean age of patients was 63.7±6.3 years. According to TNM staging system, cancer stage 1 was detected in 90% of patients (n=19), stage 2a - in 10% (n=2) of patients.
Results:
Time of distal gastrectomy was 190.4±51.6 min, blood loss - 90.3±51.2 ml. The number of excised lymph nodes was 21.2±5.1. We were able to achieve 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 an appropriate intervention ensuring R0 resection edge in most cases.
