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Annals of Surgical Oncology

, Volume 22, Supplement 3, pp 341–341 | Cite as

Techniques of the Single-Port Totally Laparoscopic Distal Gastrectomy

  • Su Mi Kim
  • Sang Hoon Lee
  • Man Ho Ha
  • Jeong Eun Seo
  • Ji Eun Kim
  • Min Gew Choi
  • Tae Sung Sohn
  • Jae Moon Bae
  • Sung Kim
  • Jun Ho LeeEmail author
Gastrointestinal Oncology

Abstract

Background

Single-port laparoscopic surgery for patients with early gastric cancer has been rarely reported. Our aim was to introduce techniques of the single-port totally laparoscopic distal gastrectomy (TLDG) in patients with early gastric cancer.

Methods

This procedure was performed using only one 3–3.5 cm skin incision on the umbilicus. One 12 mm and two 10 mm ports were used, and the flexible scope was used during the operation. Partial omentectomy with D1 + β or more lymph node dissection was performed. Bowel continuity was restored by intracorporeal gastroduodenostomy using two linear staplers.

Results

A total of 30 patients underwent single-port TLDG from June to August 2014. Median age of patients was 55 years (range 33–77) and median body mass index of patients was 21.2 kg/m2 (range 15.7–26.1). Sixteen of 30 patients (53.3 %) were female. Operating times were 122.6 min, and blood losses during operations were 103.2 ml on average. The median length of postoperative hospital stay was 7 days, and the median number of dissected lymph nodes was 40 (range 16–67). No patients had dissected lymph nodes <15. The rate of complications was 20 % (6/30 patients), and no patients had an incisional hernia. Two patients experienced ileus (6.7 %), another two patients experienced delayed gastric emptying (6.7 %), and one patient suffered from small bowel obstruction. There were no postoperative mortalities.

Conclusions

The single-port TLDG for patients with early gastric cancer is feasible in very selected patients and in specialized gastric cancer centers with experience in multi-trocar laparoscopy and single-port laparoscopic surgery.

Keywords

Gastric Cancer Dissect Lymph Node Incisional Hernia Early Gastric Cancer Small Bowel Obstruction 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Supplementary material 1 (MP4 114115 kb)

10434_2015_4839_MOESM2_ESM.docx (15 kb)
Supplementary material 2 (DOCX 15 kb)

Copyright information

© Society of Surgical Oncology 2015

Authors and Affiliations

  • Su Mi Kim
    • 1
  • Sang Hoon Lee
    • 1
  • Man Ho Ha
    • 1
  • Jeong Eun Seo
    • 1
  • Ji Eun Kim
    • 1
  • Min Gew Choi
    • 1
  • Tae Sung Sohn
    • 1
  • Jae Moon Bae
    • 1
  • Sung Kim
    • 1
  • Jun Ho Lee
    • 1
    Email author
  1. 1.Department of SurgerySamsung Medical Center, Sungkyunkwan University School of MedicineSeoulRepublic of Korea

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