The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on laparoscopic gastrectomy for cancer.


Cancer of the stomach can be treated by partial or total removal of the stomach (gastrectomy) to take out the tumour and any affected lymph nodes. Gastrectomy was traditionally carried out by open surgery. In this procedure, the gastrectomy is performed using keyhole surgery, the cancer is then removed in exactly the same way as open surgery.

Coding recommendations

A code is selected from one of the following OPCS-4 categories:

G27.- Total excision of stomach

G28.- Partial excision of stomach


Y75.2 Laparoscopic approach to abdominal cavity NEC

In addition an ICD-10 code from category C16.- Malignant neoplasm of stomach or C78.8 Secondary malignant neoplasm of other and unspecified digestive organs is assigned.

Your responsibility

This guidance represents the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, healthcare professionals are expected to take this guidance fully into account. However, the guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer.

Commissioners and/or providers have a responsibility to implement the guidance, in their local context, in light of their duties to have due regard to the need to eliminate unlawful discrimination, advance equality of opportunity, and foster good relations. Nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.