Laparoscopic Radical Subtotal Gastrectomy with Partial Omentectomy in Early Gastric Cancer
Autores
Mónica Ferreira, Catarina Baía, Mariana Peyroteo, Joaquim Abreu de Sousa
Resumo Introdução
Surgical resection with curative intent is the only definitive treatment for gastric cancer. Laparoscopic gastrectomy has gained popularity due to low morbidity and mortality and its positive impact on patient quality of life. Traditionally, omentectomy is performed to reduce peritoneal dissemination; however, recent evidence suggests that partial omentectomy may be oncologically safe in early-stage disease.
Resumo Métodos
We present a clinical case of an 80-year-old female with dyspeptic symptoms. Endoscopy revealed a 20?25 mm ulcerative lesion at the incisura. Biopsies confirmed an adenocarcinoma. Staging CT showed no locally advanced or metastatic disease. The patient underwent laparoscopic subtotal radical gastrectomy with partial omentectomy. Key steps are demonstrated, emphasizing safe resection and reconstruction.
Resumo Resultados
The procedure was completed without complications. The patient was discharged on postoperative day 7. Histopathology revealed high-grade, mixed, infiltrative adenocarcinoma, 0/25 lymph nodes involved (pT1aN0), and negative margins (R0).
Resumo Discussão
This video demonstrates that laparoscopic subtotal gastrectomy with partial omentectomy is feasible and safe in early gastric cancer. Limited omentectomy may be oncologically sufficient, supporting recent evidence and potentially reducing operative burden.