Purpose. The laparoscopic approach for gastric carcinoma (GC) is being increasingly implemented. surgeons. Although recent evidence suggests that this surgical approach is associated with improvements in short-term outcomes, mid- and long-term outcomes have not been well studied. This study aimed to evaluate the mid- and long-term outcomes of laparoscopic gastrectomy (LG) with D1-D2 lymph node dissection for all stages of GC.Methods. A prospective study of GC treated by laparoscopic approach between January 2004 and December 2019 was performed. The demographics, perioperative data, operation details, length of hospital stay, morbidity, mortality and pathologic and oncological outcomes were analyzed.Results. A total of 70 patients met the inclusion criteria. The median age was 73 years old. Subtotal gastrectomy was performed in 52 cases (74.3%), and total gastrectomy was performed in 18 cases (25.7%). The median operative time was 270 minutes. The median postoperative stay was 10 days. Morbidity was 35.7%, with a mortality of 7.1%. The disease-free survival (DFS) was 61.2% at three years and 52.3% at five years.Conclusions: LG is a feasible and secure surgical procedure for GC with good mid- and long-term results. Advanced age should not be considered a contraindication for LG.