O bjective: Today, minimal invasive surgery has gainedwide acceptance by general surgeons, even in complexoncological procedures. Despite the increased experi -ence on laparoscopic distal gastrectomy, limited numberof surgeons prefer laparoscopic total gastrectomy forproximal or middle-third gastric cancer, due to the con -cern of technical diffculties which can alter the quality ofoncological outcomes.Methods: We retrospectively analyzed gastric cancerpatients who underwent curative intent laparoscopic gas -trectomy by single surgeon from October 2013 to April2014. Five total gastrectomy + D2 (-No 10 and 11d) and1 distal gastrectomy + D2 lymphadenectomy were ana-lyzed for patient demographics, pathological characteris -tics, morbidity and in-hospital mortality.Results: The mean operating time was 255,8±37.2 min -utes. The mean blood loss was 121.6±20.4 ml. In allpatients, R0 resection were performed. The mean num -ber of harvested lymph nodes were 22.6±7.3. The me-dian number of metastatic lymph nodes was 16 (0-23).In one patient, less than 15 lymph nodes were retrieved.Complication rate was 33.3% (n=2). In one patient, whounderwent laparoscopic distal gastrectomy, afferent loopsyndrome developed. In another patient, who underwenttotal gastrectomy plus splenectomy a massive pulmonerembolism developed. The median hospital stay was 10(6-18) days.Conclusion: With increased experience in advancedlaparoscopic procedures, laparoscopic total gastrectomymay be considered as the frst line treatment approach forgastric cancer patient even in a low-volume center.