Resultados tempranos en pacientes con cáncer gástrico sometidos a gastrectomía laparoscópica con intención curativa

Abstract

Introduction. The management of patients with gastric cancer is determined by the preoperative stage and requires a multidisciplinary strategy. Radical surgery, especially in patients with early stages, is potentially curative. The laparoscopic approach offers advantages over the open approach, however, in our setting there is no information regarding oncological and early postoperative results. \nMethods. Retrospective, descriptive, cross-sectional study in patients with gastric cancer who underwent laparoscopic gastrectomy with curative intent, between 2014 and 2019, in three institutions in the city of Medellin. Demographic data, postoperative and short-term oncological results were analyzed. \nResults. Seventy-five patients undergoing laparoscopic gastrectomy were included. The median age was 64 years and the most frequent stage was III. Gastrectomy was subtotal in 50 patients (66.7%) and total in 25 patients (33.3%). D2 lymphatic dissection was performed in 73 patients (97.3%) with a median lymph node count of 27. The R0 resection rate was 97.3%. The median hospital stay was six days. The major complication rate was 20% and the 90-day mortality was 4%. \nDiscussion. The oncological quality of the laparoscopic gastrectomy was adequate and complies with the recommendations of international guidelines. Although morbidity remains high, it has a 96% survival rate at 90 days.