LONG-TERM SURVIVAL AFTER LAPAROSCOPIC TOTAL GASTRECTOMY FOR EARLY AND ADVANCED GASTRIC CANCER. SINGLE CENTER EXPERIENCE IN 100 CASES

BACKGROUND: Laparoscopic gastrectomy offers advantages in the postoperative period Fabricio Ferreira 3 , Paulo 3 compared to the open approach. Most studies have been performed on distal gastrectomies; however, laparoscopic total gastrectomy (LTG) is not universally accepted. AIM: The aim of this study was to assess the results of LTG, on postoperative morbidity outcomes and long-term survival. METHODS:- Racional: O tratamento de escolha para pacientes com hipertens & atilde;o portal This is a retrospective cohort study from a prospective database of patients who underwent LTG, from esquistossom & oacute;tica com sangramento de varizes & eacute; a desconex & atilde;o & aacute;zigo-portal mais 2005 to 2022, due to early and advanced gastric cancer. A totally laparoscopic technique was utilized, and the Roux-en-Y reconstruction was performed in all cases. Postoperative complications and longesplenectomia (DAPE) associada & agrave; terapia endosc & oacute;pica. Por & eacute;m, estudos mostram aumento term survival were evaluated. RESULTS: A total of 100 patients were included (men 57, age 64 years, do calibre das varizes em alguns pacientes durante o seguimento em longo prazo. Objetivo: and body mass index 26). A D2 lymphadenectomy was performed in 68 cases. The postoperative Avaliar o impacto da DAPE e tratamento endosc & oacute;pico p & oacute;s-operat & oacute;rio no comportamento hospitalization period was 8 days (6-62 days). Postoperative complications occurred in 26%, with das varizes esof & aacute;gicas e recidiva hemorr & aacute;gica, de pacientes esquistossom & oacute;ticos. M & eacute;todos: 7% esophago-jejunal anastomosis leak, 4% abdominal collections, and 2% gastrointestinal bleeding. Foram estudados 36 pacientes com seguimento superior a cinco anos, distribu & iacute;dos em In 7% of cases, the complication was considered Clavien 3 or greater. Operative mortality was 1%. The pathology findings confirmed advanced gastric cancer in 50 cases. The median lymph node dois grupos: queda da press & atilde;o portal abaixo de 30% e acima de 30% comparados com o count was 38, and surgery was considered R0 in 99%. The median follow-up was 50 months. Overall calibre das varizes esof & aacute;gicas no p & oacute;s-operat & oacute;rio precoce e tardio al & eacute;m do & iacute;ndice de recidiva 5-year survival was 74%. Survival in T1 cases was 95% at 5 years. For stage I, survival was95%, and for hemorr & aacute;gica. Resultados stages II and III, it was 52% and 43%, at 5 years, respectively. CONCLUSIONS: These results support esof & aacute;gicas que, durante o seguimento aumentaram de calibre e foram controladas com the feasibility and oncological adequacy of minimally invasive total gastrectomy. Postoperative has an rate. survival was in accordance with the disease