الفهرس 
Title : Laparoscopic gastrectomy for gastric cancer
ContentsOnly 14 pages are availabe for public view
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Abstract
Objective: The aim of the study was to evaluate feasibility and outcomes of laparoscopic D2 gastrectomy for gastric cancer in the National Cancer Institute. Background: Gastrectomy with proper lymph node dissection remains the cornerstone of radical resection of potentially curable gastric cancer. Laparoscopic gastrectomy has been used as a superior alternative to open gastrectomy to treat early gastric cancer. However, laparoscopic D2 lymphadenectomy is a technically more challenging procedure than D1 lymphadenectomy. Methods: This is a prospective study included cases of gastric cancer attended at National Cancer Institute and underwent laparoscopic D2 gastrectomy during a time period of two years starting from May 2016. Surgical procedures, peri-operative outcome, histopathological data including the number of lymph nodes harvested and surgical margins, morbidity, mortality, 2-years Disease-Free Survival, and 2-years Overall Survival were evaluated. Results: Between May 2016 and May 2018 , twenty-five consecutive cases of gastric cancer underwent laparoscopic D2 gastrectomy, eighteen patients (72%) underwent distal gastrectomy, four patients(16%) underwent total gastrectomy and three patients(12%) underwent proximal gastrectomy , median number of lymph nodes retrieved was 18(5-35) , positive proximal margin was detected in 2 patients (8%), median operative time and blood loss were 240 minutes (200-330), 250 ml.(200-450) respectively