Laparoscopic total gastrectomy with D1+ lymph nodes dissection for a patient with early gastric cancer in Saudi Arabia

Gastric cancer is not uncommon in Saudi Arabia and still one of the top causes of cancer-related deaths. Nevertheless, case reports and literature reviews regarding gastric cancer and its treatment options are rarely published in Saudi Arabia. Hence, we review the first case in Saudi Arabia of total laparoscopic gastrectomy accompanied by D1+ lymph node dissection done for a 55-year-old Saudi female with early gastric cancer (EGC). It was performed following the latest Japanese gastric cancer guidelines. The surgery was successful with neither intraoperative nor postoperative complications. In conclusion, laparoscopic treatment for EGC is a safe and feasible option for treatment in addition to faster recovery and less overall surgical complications on the short term compared with open gastric surgeries.