[Gastric cancer and laparoscopy: analysis of data from the national register of laparoscopic gastric surgery].
OBJECTIVE
To study the data from the Laparoscopic Gastric Surgery Spanish National Register of laparoscopic Gastric Surgery and to analyse the type of surgery, the conversion to laparotomy, postoperative complications and mortality.


METHODS
From March 2005 to July 2008, details of 302 laparoscopic gastric surgical interventions were sent to the Association of Spanish Surgeons web-site. Details of surgical technique, reconversion, clinical and pathological data, morbidity and mortality were collected and analysed.


RESULTS
A total of 245 patients had gastric adenocarcinoma, 35 of them stromal tumours and 22 other gastric pathologies. In gastric adenocarcinoma patients, resection was performed in 232 cases (95%). The most frequent histology was intestinal, mainly located in the distal third of the stomach, with 34% of the tumours being locally advanced. D2 lymphadenectomy was performed in 117 cases, D1 in 105, and D0 in 6. Reconversion was needed in 21 cases (9%), with technical difficulty being the most frequent cause. Postoperative complications were reported in 72 patients (31%), with anastomotic leak being one of the most significant. Postoperative mortality was 6%, with sepsis due to anastomotic leak and cardiac or respiratory complications the most frequent causes. The mean hospital stay of patients without complications was 9.2 +/- 3 days.


CONCLUSIONS
Laparoscopic gastrectomy for gastric cancer is a feasible but technically demanding procedure. Potential benefits of minimal invasive surgery can be reduced due to a high rate of postoperative complications.
Registro Nacional Cirugía Gástrica por Laparoscopia, Asociación Española de Cirujanos, Madrid, España. 25533jrs@comb.es
Joaquín M
JM
Rodríguez Santiago
Marta
M
Clemares
Josep
J
Roig-Garcia
Jose Ignacio
JI
Asensio
Xavier
X
Feliu
Ernesto
E
Toscano
Joaquín
J
Resa
Eduardo
E
Targarona
Javier
J
Ibáñez-Aguirre
Jose
J
Castell
Gaspar
G
Sanfeliu
Juan Jose
JJ
Sánchez Cano
Jose Manuel
JM
Ramón
Miguel Félix
MF
Del Olmo
Alberto
A
Gutiérrez
Juan
J
Arteaga
Jaime
J
Vázquez
Fernando López
FL
Mozos
Francisco Mateo
FM
Vallejo
D000368:Aged; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology; D012042:Registries; D013274:Stomach Neoplasms / Q000601:surgery*