The Clean-Net technique shows promising long-term outcomes for select gastric cancer patients.

• No recurrence of gastric cancer in the 19 patients analyzed over a median follow-up of 6.2 years, with a maximum of 16.8 years.
• 73.7% of patients were reclassified post-surgery due to higher risk factors, underscoring the importance of careful selection.
• Metachronous gastric cancer occurred in 2 patients, emphasizing the need for ongoing surveillance.

While results are encouraging, Clean-Net does not replace standard gastrectomy and should inform future studies on function-preserving techniques.