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

Volume : VIII, Issue : XI, November - 2019

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. Histopathological 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.