Laparoscopy-assisted gastrectomy remains safe and feasible for gastric cancer patients with a history of upper abdominal surgery

BACKGROUND Laparoscopy-assisted radical gastrectomy is a well-established treatment for gastric cancer. However, its safety and feasibility in patients with a history of upper abdominal surgery (UAS) remain controversial. AIM To evaluate perioperative outcomes and oncologic radicality in gastric cancer patients with prior UAS undergoing laparoscopic gastrectomy, using a novel adhesion-risk stratification system. METHODS This retrospective study included gastric cancer patients with a history of