| TITLE: Laparoscopic Distal Gastrectomy and D1 Lymphadenectomy for Gastric Adenocarcinoma The application of laparoscopic surgery in the management of gastric cancer is not well-defined in the Western world. The objective of this video is to demonstrate that laparoscopic surgery is feasible in select cases of gastric cancer. The subject was a 79-year-old female with a recent diagnosis of gastric adenocarcinoma. Computed tomography (CT) of the abdomen showed thickened pyloric antrum and gastric outlet obstruction. Endoscopic ultrasound (EUS) established T2 N0 tumor staging. Laparoscopic distal gastrectomy with D1 lymphadenectomy was performed without complication. The postoperative hospital course was unremarkable, and the patient was discharged home on day 2. Histopathologic analysis confirmed staging as T2a N0 Mx with 31 lymph nodes negative for evidence of cancer. At 12-month follow-up, the patient continues to do well with no evidence of recurrence. Abs# 9343GS Authors: Eddie Lambert MD MBA, Ziad Awad MD |
