LAPAROSCOPIC GASTRECTOMY + D2 LYMPHADENECTOMY- ONCOLOGICAL ADEQUACY AND SHORT TERM SURGICAL OUTCOMES IN A SERIES OF PATIENTS IN A TERTIARY HEALTH CENTRE

Dr Steffi Dcruz, Dr Ganesh M K, Dr Nagarjun Rao H T

Abstract


Aim: To assess oncological adequacy and short term surgical outcome in patients with gastric adenocarcinoma undergoing laparoscopic
gastrectomy with lymph node dissection
Methodology: Observational study of 25 patients who underwent laparoscopic gastrectomy + D2 lymphadenectomy, from August 2015 to 2018,
short term surgical outcome, with oncological adequacy was assessed.
Results: Mean operative time 3 hours 25 minutes. Blood loss average of 200 ml in subtotal and 180 ml in total gastrectomy group. Histo
pathological examinantion, R0 resection in all patients. AJCC proposed a minimal number of 15 dissected nodes for the accurate prognosis of N
status. Our experience showed an average lymph node sampling of 21(subtotal) & 23(total) which was adequate.
Conclusion: Laparoscopic gastrectomy with D2 lymphadenectomy enables faster recovery and discharge of patients without compromising
adequate oncological resection.


Keywords


gastric carcinoma, laparoscopic gastrectomy, oncological adequacy

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