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Category: Volume 07 Issue 05 May 2019
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Title: Laparoscopic Gastric Cancer Surgery: An Early Experience from a Developing World Country

Authors: Dr Tanveer Ahmad Yatoo, Dr Abdul Rashid Ganaie, Prof. Iqbal Saleem Mir, Dr Zahida Akhter, Prof. Farooq Ahmad Reshi, Dr Zaheem, Dr Aftab Akbar,  Dr Yaqoob, Dr Yasir Rehman

 DOI: https://dx.doi.org/10.18535/jmscr/v7i5.162

Abstract

Introduction

Gastric cancer is one of the most common cancers worldwide. Asian countries like Japan, China, and South Korea have a high incidence; those with a low incidence include India, Pakistan, and Thailand1.Gastric cancer is the fourth common cancer and the second leading cause of cancer related deaths worldwide2. The age adjusted stomach cancer incidence among Kashmiri males was36.7/100,000 and among Kashmiri females was 9.9/100,000 in a study from 1986-1989. It indicated that there is a high rate of gastric cancer in Kashmiri population compared to other parts of the country3.

The first laparoscopy-assisted distal gastrectomy (LADG) for early gastric cancer (EGC) was reported in 1994. Since then there have been major breakthroughs in the field of gastric cancer surgery4. Understanding the comparative effectiveness of laparoscopic and open approaches to resection of early-stage gastric cancer is an important issue in the surgical management of this condition5. There has been a tremendous improvement in laparoscopic approach with the use of endoscopic staplers making intracorporeal anastomosis feasible and much easier than before. Many studies showed long term results of laparoscopic gastric surgeries are comparable with those of open gastrectomy6-8.

Objectives

The aim of this study was to evaluate the results of laparoscopic surgeries in gastric carcinoma in a selected Kashmiri population.

Material and Methods

This prospective study was conducted in the Department of General Surgery, Government Medical College, Srinagar over a period of 3 years. Patients were given free choice to undergo either laparoscopic or open resection. Patients were excluded from study if metastasis was detected preoperatively or intra-operatively.

A total number of 30 patients who underwent laparoscopic gastric surgeries for carcinoma stomach were enrolled in the study after a written informed consent in local language.

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Corresponding Author

Dr Tanveer Ahmad Yatoo

Post graduate, Department of General Surgery

Government Medical College, Srinagar, India