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

引用

World Journal of Gastroenterology 2020年第31期26卷 4669-4679页

作者： Wei Zhou Chang-Zheng Dong yi-Feng Zang ying Xue Xing-Guo Zhou yu Wang yin-Lu Ding Department of Gastrointestinal Surgery The Second HospitalCheeloo College of MedicineShandong UniversityJinan 250012Shandong ProvinceChina

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

关键词： Laparoscopy Distal gastrectomy Single-incision plus one port uncut rouxen-y gastrojejunostomy Reduced port surgery Gastric cancer

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