['There is debate surrounding the use of laparoscopic resection for advanced gastric cancer in the Western population. Here we aim to assess the feasibility and short-term outcomes of laparoscopic gastrectomy in consecutive patients in a Western population.', 'From 2012 to 2014, retrospective review of 28 patients with clinically staged advanced gastric cancer (≥T3 or ≥N1) treated with laparoscopic resection.', 'Sixty-one percentage of patients were male. Median age was 67 years (range 35-86). Median BMI was 26.5 (range 19.4-46.1). Resection types were proximal (n\xa0=\xa02), distal (n\xa0=\xa014), and total (n\xa0=\xa012). Twenty-six (93\xa0%) patients underwent D2 lymphadenectomy. Four patients underwent conversion to open. Median blood loss was 125\xa0mL (range 30-300). Median LOS was 7\xa0days (range 4-16). Of postoperative complications, five were minor: arrhythmia (n\xa0=\xa01), surgical site infection (n\xa0=\xa03), in-hospital fall (n\xa0=\xa01); and four were major (intra-abdominal abscess, stricture, PE, and anastomotic bleed). T stages were Tx (n\xa0=\xa01), T2 (n\xa0=\xa03), T3 (n\xa0=\xa018), and T4 (n\xa0=\xa06). N stages were N0 (n\xa0=\xa04), N1 (n\xa0=\xa08), N2 (n\xa0=\xa01), and N3 (n\xa0=\xa015). Median tumor size was 5.8\xa0cm (range 0-9.5). Median lymph node yield was 22 (range 6-53). All margins were negative. Median follow-up was 12.8\xa0months (range 2-27). Six patients have died of progressive disease.'] Is total laparoscopic resection for advanced gastric cancer safe and feasible in the Western population?