Evidence of implementation of laparoscopic total gastrectomy (LTG) for locally advanced gastric cancer (GC) remains inadequate. This study aimed to compare short- and mid-term outcomes of LTG versus open total gastrectomy (OTG) for cT2-4a GC.
Pathologic finding by gastric endoscopy: confirmed gastric adenocarcinoma
Age: 18 - 80 year old
Tumor required total gastrectomy for radical treatment
Preoperative cancer stage (CT scan stage): cT2-4aNanyM0
Concurrent cancer or patient who was treated due to other cancer before the patient was diagnosed gastric cancer
Bulky lymph node andd/or Para-aortic lymph node metastasis
Combined esophagectomy due to invading to the esophagus
Pregnant patient