Objective: to evaluate early results ol the laparoscopy-assisted extended gastrectomy with D2 lymph-node dissection in treatment of gastric cancer at No.108 Hospital. Methods: retrospective study combined with prospective study. Compare between laparoscopic extended gastrectomy (LEG) and open extended gastrectomy (GEG) (LEG group: 60 patients, GEG group 71 patients). Results: tlte demographics, characteristics of tumor and stage of disease were similar. No significant differences between LEG group and GEG group in amount of lymph node dissection (26.6 + or - 6.5 vs 27.1 + or - 7.7). complications rate (15 percent vs 11.3 percent). The average surgical time of LEG group was higher (199 + or - 38 vs 181 + or - 43 mins, p 0.05). However. the blood loss in LEG was less, the recovery time of digestive circulation and postoperative hospital stay were shorter in LEG group (3.5 + or - 0.7 vs 3.9 + or - 0.9 days and 10.0 + or - 3.9 vs 11.6 + or - 4. 7 days. p 0,05 respectively). Conclusion: the method of laparoscopy assisted extended gastrectomy with D2 lymph node dissection is feasible, safe, and respect well the principles of oncologic treatment. The blood loss is less, posperative recovery time is shorter.
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