To explore the short-term and long-term effects of totally laparoscopic gastrectomy (TLG), laparoscopy-assisted gastrectomy (LAG), and traditional radical surgery (TOS) for gastric cancer with stage and .

This study reviewed one hundred and thirty-six patients who underwent radical gastrectomy in Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine from January 2013 to June 2016. According to the different methods of operation, the patients were divided into TLG group (45 cases), LAG group (40 cases) and TOS group (51 cases). The operative time, bleeding volume, lymph node clearance, postoperative exhaust time, hospital stay, postoperative complications and were observed. 5-year survival after operation was analyzed by Kaplan-Meier method.

The bleeding volume, exhaust time and hospital stay in group TLG were significantly lower than those in group TOS and LAG (P<0.05). The operative time in group LAG was significantly higher than that in the other two groups (P<0.05). There was no significant difference in the complication rate in the three groups. In this study, 129 patients were followed up, with 2 in group TLG, 2 in group LAG and 3 in group TOS failing to be followed up. The average tumor-free survival time in TLG, LAG and TOS groups was [(53.4±2.1) months, 95%CI (50.45, 58.22) months; (54.3±2.0) months, 95%CI (47.99, 56.18) months; (52.3±2.1) months, 95%CI (50.98, 55.65) months], with no significant difference among the three groups (F=0.519, P=0.772).

TLG can reduce the amount of bleeding, the time of exhaust and the time of hospitalization, while ensuring the postoperative effect of the patients. TLG is safe and feasible for the treatment of stage and Ⅲ gastric cancer, and is worth popularizing.