IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-8-11-23293 Original Research Paper Laparoscopic gastrectomy + D2 lymphadenectomy- Oncological adequacy and short term surgical outcomes in a series of patients in a tertiary health centre Steffi Dcruz Dr. Dr Nagarjun Rao H T Dr. November 2019 8 11 01 02 ABSTRACT

Aim: To assess oncological adequacy and short term surgical outcome in patients with gastric adenocarcinoma undergoing laparoscopic gastrectomy with lymph node dissection Methodology: Observational study of 25 patients who underwent laparoscopic gastrectomy + D2 lymphadenectomy, from August 2015 to 2018, short term surgical outcome, with oncological adequacy was assessed. Results: Mean operative time 3 hours 25 minutes. Blood loss average of 200 ml in subtotal and 180 ml in total gastrectomy group. Histopathological examinantion, R0 resection in all patients. AJCC proposed a minimal number of 15 dissected nodes for the accurate prognosis of N status. Our experience showed an average lymph node sampling of 21(subtotal) & 23(total) which was adequate. Conclusion: Laparoscopic gastrectomy with D2 lymphadenectomy enables faster recovery and discharge of patients without compromising adequate oncological resection.