Initial experience of single-incision plus one port left-side approach totally laparoscopic distal gastrectomy with uncut Roux-en-Y reconstruction

作     者：Wei Zhou Chang-Zheng Dong Yi-Feng Zang Ying Xue Xing-Guo Zhou Yu Wang Yin-Lu Ding 

作者机构：Department of Gastrointestinal SurgeryThe Second HospitalCheeloo College of MedicineShandong UniversityJinan 250012Shandong ProvinceChina 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2020年第26卷第31期

页      面：4669-4679页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

基　　金：Supported by Key R&D Programs in Shandong China,No.2019GSF10822 Jinan Science&Technology Bureau,No.201704125 

主　　题：Laparoscopy Distal gastrectomy Single-incision plus one port Uncut Rouxen-Y gastrojejunostomy Reduced port surgery Gastric cancer 

摘      要：BACKGROUND Single incision plus one port left-side approach(SILS+1/L)totally laparoscopic distal gastrectomy(TLDG)is an emerging technique for the treatment of gastric *** port laparoscopic gastrectomy has a number of potential advantages for patients compared with conventional laparoscopic gastrectomy:relieving postoperative pain,shortening hospital stay and offering a better cosmetic ***,there are no previous reports on the use of SILS+1/L TLDG with uncut Roux-en-Y(uncut R-Y)*** To investigate the initial feasibility of SILS+1/L TLDG with uncut Roux-en-Y digestive tract reconstruction(uncut R-Y reconstruction)to treat distal gastric *** A total of 21 patients who underwent SILS+1/L TLDG with uncut R-Y reconstruction for gastric cancer were *** patients were treated at The Second Hospital of Shandong *** were performed intracorporeally with 60 mm endoscopic linear stapler and 45 mm no-knife *** clinicopathological characteristics,surgical details,postoperative short-term outcomes,postoperative follow-up upper gastrointestinal radiography findings and endoscopy results were analyzed *** All SILS+1/L operations were performed by SILS+1/L TLDG *** patient population included 13 men and 8 women with a mean age of 48.2 years(ranged from 40 years to 70 years)and median body mass index of 22.8 kg/m^*** were no conversions to open laparotomy,and no other port was *** mean operation time was 146 min(ranged 130-180 min),and the estimated mean blood loss was 54 mL(ranged 20-110 mL).The mean duration to flatus and discharge was 2.3(ranged 1-3.5)and 7.3(ranged 6-9)d,*** mean number of retrieved lymph nodes was 42(ranged 30-47).Two patients experienced mild postoperative complications,including surgical site infection(wound at the navel incision)and mild postoperative pancreatic fistula(grade A).Follow-up upper gastrointestinal ra