Abstract:Objective:To explore the clinical efficacy of laparoscopy-assisted radical D2 proximal gastrectomy.
Methods :The clinical data of 22 cases of laparoscopy-assisted D2 radical proximal gastrectomy were analysed retrospectively.
Results:Laparoscopy-assisted radical proximal gastrectomy was carried out in all of the 22 cases. There was no conversion to open surgery in this series. The mean operation time was 188（162～270） min. The mean operative blood loss was 182（100～260）mL. The number of lymph nodes dissected was 18.6（10～32）. The average time for gastrointestinal function recovery was 78（48～140）h. Postoperative anastomotic leakage occurred in one patient who had tumor invasion of distal esophagus, and it healed after 4 weeks of conservative treatment. There were no postoperative deaths in this series. All the 22 cases were followed up for 1～37 months (mean 9.2 months) and revealed no recurrence or metastasis.
Conclusions:Laparoscopy-assisted radical D2 proximal gastrectomy for early and advanced gastric cancer is feasible, safe, and minimally invasive.