doiSerbia

Short-term outcomes of laparoscopic radical gastrectomy for advanced gastric neoplasms: A single center experience

Bjelović Miloš (School of Medicine, Belgrade + University Hospital for Digestive Surgery, Clinical Center of Serbia, Department for Minimally Invasive Upper Digestive Surgery, Belgrade)
Veselinović Milan (Clinical Center of Serbia, University Hospital for Digestive Surgery, Department for Minimally Invasive Upper Digestive Surgery, Belgrade)
Gunjić Dragan (Clinical Center of Serbia, University Hospital for Digestive Surgery, Department for Minimally Invasive Upper Digestive Surgery, Belgrade)
Babić Tamara (Clinical Center of Serbia, University Hospital for Digestive Surgery, Department for Minimally Invasive Upper Digestive Surgery, Belgrade)
Nikolić Luka (University of Edinburgh, Edinburgh Medical School, Biomedical Sciences, College of Medicine and Veterinary Medicine, Edinburgh, United Kingdom)

Introduction/Objective. The objective was to assess the effectiveness of laparoscopic gastrectomy, analyzing short-term outcomes of laparoscopic radical gastrectomy in treatment of advanced gastric neoplasms. Methods. We performed a prospective cohort observational study, which included 30 patients who underwent elective radical laparoscopic gastrectomy (total or subtotal) for stomach neoplasms, performed in the period between March 2013 and February 2017. Results. Thirteen patients (43%) had been diagnosed with distal gastric tumors, seven (23%) with proximal gastric tumors, four (13%) with pangastric tumors, four (13%) with mediogastric tumors, and two (7%) with bicentric tumors. Mean operation duration was 286 minutes. The average blood loss was 183 mL. Conversion rate was 10% (three patients). Total of seven (23%) patients had postoperative complications, and mean intensive care unit stay was 1 day. Mean hospital stay after surgery was 13.08 days. The average number of harvested lymph nodes was 33.9, and R0 resection was performed in 87% patients. The overall 30-day mortality rate was 0%. Conclusion. Although technically challenging, laparoscopic gastrectomy is a safe and oncologically adequate procedure in the radical surgical treatment of advanced gastric neoplasms.

Keywords: gastric neoplasms, surgery, minimally invasive gastrectomy, laparoscopy