Laparoscopic pylorus preserving gastrectomy: own experience, safety and perspectives

Pomortsev B.A.; Begiashvili V.V.; Dalgatov K.D.; Sazhin A.V.

doi:https://doi.org/10.17116/hirurgia202510114

Pomortsev B.A.

Moscow Clinical Center “Kommunarka”;
Pirogov Russian State Medical University

ORCID: 0009-0007-4739-2127

Begiashvili V.V.

Pirogov Russian State Medical University

ORCID: 0009-0003-6270-3377

Dalgatov K.D.

Moscow Clinical Center “Kommunarka”;
Pirogov Russian State Medical University

ORCID: 0000-0001-5324-4752

Sazhin A.V.

Moscow Clinical Center “Kommunarka”;
Pirogov Russian State Medical University

SPIN RSCI: 7064-6369
Scopus AuthorID: 6701753208
ORCID: 0000-0001-6188-6093

Laparoscopic pylorus preserving gastrectomy: own experience, safety and perspectives

Authors:

Pomortsev B.A., Begiashvili V.V., Dalgatov K.D., Sazhin A.V.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2025;(10): 14‑22

DOI: 10.17116/hirurgia202510114

Read: 553 times

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To cite this article:

Pomortsev BA, Begiashvili VV, Dalgatov KD, Sazhin AV. Laparoscopic pylorus preserving gastrectomy: own experience, safety and perspectives. Pirogov Russian Journal of Surgery. 2025;(10):14‑22. (In Russ.)
https://doi.org/10.17116/hirurgia202510114

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

OBJECTIVE

To evaluate the efficacy and safety of laparoscopic pylorus-preserving gastrectomy (LPG).

MATERIAL AND METHODS

A prospective observational study was devoted to efficacy and safety of LPG in patients with early gastric cancer. We analyzed the results after the first 14 surgeries. Intraoperative characteristics, incidence and severity of postoperative complications, as well as histological data were estimated.

RESULTS

Patients with early cancer of the middle third of the stomach underwent surgery. No serious complications, including anastomotic leakage, were registered. Minor complications occurred in 14% of patients (gastrostasis with effective therapy). Morphological analysis revealed gross total resection in all cases (R0). Mean number of resected lymph nodes was 18.

CONCLUSION

Laparoscopic pylorus-preserving gastrectomy demonstrated high safety and efficacy in the treatment of early gastric cancer with minimal complications. However, further improvement of results requires optimization of surgical technique, standardization of reconstructive stage and research of long-term outcomes.

Keywords:

laparoscopic gastrectomy

pylorus-preserving resection

functional surgery for gastric cancer

early gastric cancer

Authors:

Pomortsev B.A.

Moscow Clinical Center “Kommunarka”;
Pirogov Russian State Medical University

ORCID: 0009-0007-4739-2127

Begiashvili V.V.

Pirogov Russian State Medical University

ORCID: 0009-0003-6270-3377

Dalgatov K.D.

Moscow Clinical Center “Kommunarka”;
Pirogov Russian State Medical University

ORCID: 0000-0001-5324-4752

Sazhin A.V.

Moscow Clinical Center “Kommunarka”;
Pirogov Russian State Medical University

SPIN RSCI: 7064-6369
Scopus AuthorID: 6701753208
ORCID: 0000-0001-6188-6093

Received:

09.09.2024

Accepted:

03.12.2024

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References:

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