Sang-Hoon Ahn1, Sang-Yong Son1, Do Hyun Jung1, Do Joong Park2, Hyung-Ho Kim1. 1. Department of Surgery, Seoul National University College of Medicine, Seoul and Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea. 2. Department of Surgery, Seoul National University College of Medicine, Seoul and Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea. Electronic address: djpark@snubh.org.
Abstract
BACKGROUND: The purpose of this study was to show the feasibility and safety of pure single-port laparoscopic distal gastrectomy (SDG) by comparing its short-term outcomes with those of conventional multiport totally laparoscopic distal gastrectomy (TLDG). STUDY DESIGN: Prospectively collected data of 50 gastric cancer patients who underwent pure SDG from November 2011 through October 2013 were compared with the matched data of 50 TLDG patients. RESULTS: Mean operation time (144.5 vs 140.3 minutes; p = 0.561) and number of harvested lymph nodes (51.7 ± 16.3 vs 52.4 ± 17.9; p = 0.836) were comparable. Estimated blood loss was lower in the SDG patients (50.5 ± 31.5 mL vs 87.5 ± 79.6 mL; p = 0.007). Postoperative recovery was faster in the SDG patients in terms of lower maximum pain score on the operative day (6.1 ± 1.4 vs 6.9 ± 1.5; p = 0.015) and postoperative day 1 (4.6 ± 1.0 vs 5.5 ± 1.4; p < 0.001), less use of parenteral analgesics (0.8 ± 1.0 vs 1.4 ± 1.0; p = 0.020), and less increase in C-reactive protein level on postoperative day 5 (4.57 ± 6.26 mg/L vs 8.51 ± 5.25 mg/L; p = 0.008). Postoperative morbidity occurred in 6 (12%) and 5 (10%) patients in the SDG and TLDG group, respectively. CONCLUSIONS: This study showed that pure SDG is both safe and feasible for early gastric cancer, with similar operation time and better short-term outcomes than TLDG in terms of postoperative pain, estimated blood loss, inflammatory reaction, and cosmetic result.
BACKGROUND: The purpose of this study was to show the feasibility and safety of pure single-port laparoscopic distal gastrectomy (SDG) by comparing its short-term outcomes with those of conventional multiport totally laparoscopic distal gastrectomy (TLDG). STUDY DESIGN: Prospectively collected data of 50 gastric cancerpatients who underwent pure SDG from November 2011 through October 2013 were compared with the matched data of 50 TLDGpatients. RESULTS: Mean operation time (144.5 vs 140.3 minutes; p = 0.561) and number of harvested lymph nodes (51.7 ± 16.3 vs 52.4 ± 17.9; p = 0.836) were comparable. Estimated blood loss was lower in the SDGpatients (50.5 ± 31.5 mL vs 87.5 ± 79.6 mL; p = 0.007). Postoperative recovery was faster in the SDGpatients in terms of lower maximum pain score on the operative day (6.1 ± 1.4 vs 6.9 ± 1.5; p = 0.015) and postoperative day 1 (4.6 ± 1.0 vs 5.5 ± 1.4; p < 0.001), less use of parenteral analgesics (0.8 ± 1.0 vs 1.4 ± 1.0; p = 0.020), and less increase in C-reactive protein level on postoperative day 5 (4.57 ± 6.26 mg/L vs 8.51 ± 5.25 mg/L; p = 0.008). Postoperative morbidity occurred in 6 (12%) and 5 (10%) patients in the SDG and TLDG group, respectively. CONCLUSIONS: This study showed that pure SDG is both safe and feasible for early gastric cancer, with similar operation time and better short-term outcomes than TLDG in terms of postoperative pain, estimated blood loss, inflammatory reaction, and cosmetic result.
Authors: Su Mi Kim; Man Ho Ha; Jeong Eun Seo; Ji Eun Kim; Min Gew Choi; Tae Sung Sohn; Jae Moon Bae; Sung Kim; Jun Ho Lee Journal: Surg Endosc Date: 2015-12-22 Impact factor: 4.584
Authors: Eui Soo Han; Young Kyoung You; Dong Goo Kim; Jun Suh Lee; Eun Young Kim; Soo Ho Lee; Tae Ho Hong; Gun Hyung Na Journal: Ann Surg Treat Res Date: 2015-07-09 Impact factor: 1.859