• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / Laparoscopic Surgery In Gastric Cancer: Why Aren\’t We There Yet?

Laparoscopic Surgery In Gastric Cancer: Why Aren\’t We There Yet?

M. Mahir Ozmen, MD, MS, FACS, FRCS, Tevfik T Sahin, MD, PhD, Sibel Gelecek, MD, Ismail Bilgic, MD, Emre Gundogdu, MD, Emir Guldogan, MD, Munevver Moran, MD. Hacettepe University, Medical School, Department of Surgery and Ankara Numune Hospital, Department of Surgery, Ankara.

Background and Aim:
The efficacy and oncologic safety of laparoscopic surgery has been confirmed by various studies. Nevertheless; the role of laparoscopic surgery in gastric cancer is still controversial.

Patients and Methods:
14 patients who underwent laparoscopic surgery for gastric cancer were evaluated in terms of surgical technique, oncologic and surgical outcomes and complications.
Results:
There were 10 male and 4 female patients. The mean age of the patients was 56(35-70) years and tumors were located in gastric antrum in 4 patients, antrum-corpus in 2 patients, cardia in 3 patients, corpus-cardia in 3 patients and corpus in 2 patients. One patient had T1, 4 patient had T2, 6 patients had T3 and 3 patients had T4 tumors. 6 patients (2 Female) with antral tumors received distal subtotal gastrectomy (STG) plus D1 (1), D1.5 (D1 α, β) (3) and D2 (2) lymph node dissection. The remaining 8 patients (2 Female) received total gastrectomy (TG) plus D1.5 (D1 α,β) (2) or D2 (8) lymph node dissection. 4 of the 8 patients that received TG underwent concomitant splenectomy. For the patients that underwent STG the mean dissected lymph node numbers were 8 nodes in D1, 15,3(9-22) in D1.5 and 48(28-68) in D2. On the other hand; TG-D1.5 dissection had a mean dissected lymph node number of 21(16-26) and for TG-D2 it was 40(20-62). There was one patient with subhepatic abscess in the postoperative period. Abscess was drained subcutaneously and an enterocutaneous fistula developed that was treated with endoscopic Tisseel® application in postoperative 21st day. One patient with anastomotic stricture was treated by a single dilatation session in postoperative 2nd month.
Conclusion:
Total or subtotal gastrectomy with D1 (D1α, β) dissection can effectively and safely performed laparoscopically without compromising the oncological principles. However; there are still technical problems for D2 dissection and it requires experience. In addition to all, lymph node dissection groups should be redefined for laparoscopic approach.
 

 

View Poster

80

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals