Prospective randomized study of two laparotomy incisions for gastrectomy: midline incision versus transverse incision

Abstract

A transverse incision for distal gastrectomy may be more beneficial than an upper midline incision in attenuating postoperative wound pain, decreasing the incidence of postoperative pneumonia, and preventing postoperative intestinal obstruction.

Long-term quality of life after laparoscopy-assisted distal gastrectomy for gastric cancer

“…Our study results indicate that LAG, in comparison to ODG, improves the short-term outcome and provides a better short-term quality of life and that operative curability and long-term quality of Adhesive intestinal obstruction is a major concern after abdominal surgery [16][17][18]. The incidence of intestinal obstruction after conventional ODG given in previous studies ranged from 3.1% to 8.6% [19,20]. In our present study, the incidence of intestinal obstruction was lower after LAG than after ODG (1% vs. 13%).…”

Laparoscopic versus open appendectomy for the obese patient: a subset analysis from a prospective, randomized, double-blind study

“…and a short LOS [5,16]. Various studies have found lateral transverse incisions, as seen with McBurney's incision, to be more benign than the vertical midline counterpart in terms of pain, complications, and healing [17][18][19][20]. In a study by Harju et al [21] on cholecystectomies, the investigators found that a minilaparotomy with a smaller incision (5 to 8 cm) was comparable with the laparoscopic technique in terms of pain, LOS, and cumulative incision length.…”

Reduction of hospital stay and cost after the implementation of a clinical pathway for radical gastrectomy for gastric cancer

“…These factors further increase the risk of surgery [4]. In addition, upper abdominal incision is associated with significant postoperative pain, resulting in subsequent pulmonary atelectasis [12]. Nutritional counseling and support is one of our key components in this pathway.…”