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21mL; P0.00001), shorter postoperative hospital stay (WMD -1.96 days; P0.0001), shorter time to first flatus (WMD -0.54 day; P=0.0007) and shorter time to first liquid diet (WMD -0.66 day; P=0.001). The number of lymph nodes retrieved, mortality, intraoperative complications, intraoperative blood transfusion, and time to ambulation were similar. However, LDG was associated with a longer surgical time (WMD 33.57min; P0.00001). LDG with D2 lymphadenectomy is a safe and effective technique for patients with AGC when performed by experienced surgeon