الفهرس 
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Abstract
Gastric cancer is the third most common kind of cancer and the third deadliest. Intestinal stromal tumours (GISTs) are responsible for 90% of all gastrointestinal (GI) malignancies and 2%-3% of all gastric malignancies (55.6 percent ). Shorter hospital stays, earlier ambulation, less blood loss, less discomfort, less need for pain medicines, fewer pulmonary function abnormalities, and faster recoveries are only some of the benefits of laparoscopy in stomach surgery. However, broad use has been hampered by lengthier operational times, higher costs, and a steep learning curve. Various factors were analysed before surgery (age, sex, BMI, prior abdominal surgery, neoadjuvant therapy), during surgery (operative time, complications, conversion rate, lymphadenectomy, type of anastomosis), and shortly after surgery (return of bowel function, hospital stay, complications, reoperation and mortality rates, TNM stage, number of harvested and metastatic lymph nodes). Twenty individuals of both sexes with stomach cancers were included in the present investigation. Patients were admitted to Tanta University Hospital’s Surgical Oncology Unit inside the General Surgery Department to be evaluated for potential curative resection. Subject ages varied widely from 34 to 75 years old, averaging 57.05 13.31 years. There were nine men and eleven women total. The number of patients with H. pylori +Ve and smokers was 10. BMI Five-hundred-and-fifty percent of the study’s participants were overweight or obese, as measured by a BMI of 30 or above. There was a wide variation in the cases’ body mass index (BMI), from 23.33 to 42.96 Kg/m2. The average BMI was 32.52 6.56. Eight of the cases analysed (40%) were adenocarcinomas (seven in the pylorus and one in the body), while five cases (25%) were gastric GISTs (3 cases were located at the body, one case at the pylorus and the last one was located at the fundus). There were four instances of signet ring carcinoma (20%), three cases of which were placed at the lesser curvature and one case at the body; two cases of neuroendocrine tumours (20%), located at the fundus; and one case of tubular adenoma (10%), located at the posterior wall. Three individuals had total gastric removal, while the other nine underwent just partial removal. Six patients had their wedges taken out. Trans-gastric local excision was used to remove a tubular adenoma from the posterior wall of one patient. Only one patient had palliative bypass. Hospital stays varied from 4-20 days, surgical times from 180-280 minutes, and intraoperative blood loss from 150-310 millilitres. One patient who was part of the study population died from respiratory problems. Reflux biliary gastritis affected a second patient. Paralytic ileus occurred in just one patient and responded well to noninvasive care. One diabetic patient had a chest infection due to a superficial incision. Medical care managed to bring both situations under control. Due to difficulties with the surgical instruments and many intraoperative adhesions, Our study’s first patient was the one who had to have open surgery instead of laparoscopic.. There were no cases of delayed stomach emptying, leaking at the anastomotic site, or intraabdominal abscess. During the observation period, no patients with stomach cancer had a recurrence in the immediate area.