Surgery is the basis of treatment for remnant gastric cancer (RGC). The surgery consists of gastrectomy with meticulous lymphadenectomy. Gastrectomy and lymphadenectomy can be performed with minimally invasive surgical techniques. However, RGC surgery can be challenging in cases where changes occur following an earlier operation. The current report is a description of the surgical results of laparoscopic total gastrectomy and lymphadenectomy performed for a patient with a history of subtotal gastrectomy for gastric ulcer 19 years earlier who had cancer develop in the remnant stomach. The data regarding laparoscopic surgery for RGC is limited to case series. In the current study, a laparoscopic technique for RGC is presented in the context of a discussion of the key points of surgery.Keywords: Gastrectomy, laparoscopic; remnant gastric cancer.