GASLESS LAPAROSCOPIC AND MINILAPAROTOMY BILLROTH-I GASTRECTOMY WITH HEPATECTOMY FOR ADVANCED GASTRIC-CANCER WITH LIVER METASTASIS - TECHNIQUE AND CASE-REPORT

In advanced gastric cancer with solitary liver metastasis, minilaparot omy Billroth I gastrectomy and metastasectomy with laparoscopy was per formed by gasless surgery. The patient was a 53-year-old female, Gastr oscopic examination revealed gastric cancer (Borrman 3 type) in the an trum, and computed tomography showed a solitary liver metastasis locat ed in segment III. On post-operative day I, the patient was able to wa lk On postoperative day 4 she was started on a clear liquid diet, and was discharged on post-operative day 14. During her post-operative rec overy, the patient experienced very little pain. She did not request n arcotic analgesia post-operatively.