%0 Journal Article
%T Early results in laparoscopic gastric cancer surgery
%J -
%D 2019
%X Purpose: While gastrectomy is still the most important treatment for gastric cancer, laparoscopic surgery has become more popular with the emergence of publications showing that the advantages of laparoscopic surgeries also apply to gastric cancer surgery. The close relationship of the stomach with adjacent organs and vessels and the presence of different lymphatic pathways makes it difficult to treat laparoscopic gastric cancer. Tumor histology, surgical margin positivity, abdominal wash cytology (+) and inadequate lymphatic dissection are the most important factors in the formation of local and systemic metastases. In this study, it is aimed to share the early results of laparoscopic gastrectomy performed in the general surgery clinic of £żukurova University. Materials and Methods: Laparoscopic gastrectomy performed between September 2015 and September 2018 were divided into two groups as total and distal, and evaluated in terms of the technical, pathological and early postoperative complications. Results: Eighteen patients (11 male and 7 female) were included in the study. The mean age was 57.4 and the mean BMI was 26.3. Surgical treatment was prioritised in 13 patients and only five patients underwent neoadjuvant treatment protocols. Total gastrectomy was the preferred surgical method in 14 patients and distal gastrectomy in 4 patients. All patients underwent standard D2 lymph dissection according to tumor localization and 33.2 was the mean number of lymph nodes dissected in the total gastrectomy group; while a mean of 32 lymph nodes were dissected in the distal gastrectomy group. The mean oral start time was 6.4 days in the total gastrectomy group and 2.5 days in the distal gastrectomy group. Duodenal stump leak was detected in 4 patients, esophagojejunostomy leak was detected in 2 patients, while 1 patient had bleeding in the drain location. Conclusion: There are many studies demonstrating the adequacy of laparoscopic gastrectomy and lymphatic dissection. However, we believe that as the experience increases in these surgeries with many technical difficulties and a long learning duration; the operation time will be shortened and the complication rate will decrease
%K Mide kanseri
%K Laparaskopik gastrektomi
%U http://dergipark.org.tr/cumj/issue/42408/529972