Transumbilical single-incision laparoscopic distal gastrectomy for early gastric cancer

Omori, Takeshi; Oyama, Tsukasa; Akamatsu, Hiroki; Tori, Masayuki; Ueshima, Shigeyuki; Nishida, Toshirou

doi:10.1007/s00464-010-1563-3

Cited by 113 publications

(84 citation statements)

References 13 publications

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“…For gastric cancer, SIDG with lymph node dissection was firstly reported in 2011 (15). Nowadays a few institutions gradually started to report their experience, but it is still difficult to accept that SIDG can be performed as more popular procedure ( Table 1).…”

Section: Single Incision Distal Gastrectomy (Sidg)mentioning

confidence: 99%

Single incision gastrectomy for gastric cancer

Suh

Lee

Yang

2016

Transl. Gastroenterol. Hepatol.

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Based on rapid development of laparoscopic techniques and instruments, single-incision laparoscopic surgery (SILS) is expected to be the next step of "more" minimally invasive surgery. A few institutions gradually started to report their experience of single incision gastrectomy (SIG) for gastric cancer, but it is still difficult to accept that SIG can be performed as a popular procedure because of its technical difficulty. For wide adoption of SIG, the simplicity, safety and reproducibility of not only lymph node dissection but also reconstruction should be evaluated compared to a conventional procedure. With a thorough understanding of unique characteristics of SILS, single incision distal gastrectomy (SIDG) for early gastric cancer performed by laparoscopic surgeons with advanced technique is expected to have promising potential about excellent cosmesis, comparable morbidity and mortality in carefully selected patients. For appropriate adoption and steady progress of this state-of-the art surgery, scientific evaluation with healthy critics is necessary with new generation of SILS instrument platform.

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Section: Single Incision Distal Gastrectomy (Sidg)mentioning

confidence: 99%

Single incision gastrectomy for gastric cancer

Suh

Lee

Yang

2016

Transl. Gastroenterol. Hepatol.

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“…There have been reports describing the application of RPS to laparoscopic sleeve gastrectomy for morbid obesity or laparoscopic partial gastrectomy for gastrointestinal stromal tumors, and the use of RPS has recently also been reported in laparoscopy-assisted distal gastrectomy for gastric cancer [1,7,[15][16][17]. However, to date, the use of RPS in laparoscopyassisted total gastrectomy (LATG), a procedure that requires high levels of technical expertise, has not been reported.…”

Section: Introductionmentioning

confidence: 99%

The initial experience of dual port laparoscopy-assisted total gastrectomy as a reduced port surgery for total gastrectomy

et al. 2012

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Reduced port surgery (RPS), in which fewer ports are used than that in a conventional laparoscopic procedure, is becoming increasingly popular for various surgeries. However, the application of RPS to the field of gastrectomy is still underdeveloped. We started laparoscopy-assisted total gastrectomy through an umbilical port plus another 5 mm port (dual port laparoscopy-assisted total gastrectomy: DP-LATG) as an RPS for laparoscopyassisted total gastrectomy (LATG). A SILS TM port was inserted into an umbilical incision, while another 5 mm port was inserted at the right flank region. We performed DP-LATG on ten early gastric cancer cases consecutively from May 2011 onwards, with the surgeries all performed by a single surgeon. The results of DP-LATG were compared with the resuls of ten conventional LATGs (C-LATGs) that were performed between March 2010 and April 2011. There were no significant differences in the mean operation time (DP-LATG, 253.0 ± 26.8 min; C-LATG, 235.5 ± 20.6 min; p = 0.119), mean blood loss (33.4 ± 23.7, 39.8 ± 60.4 mL, p = 0.759), and number of lymph nodes dissected (31.6 ± 12.3, 40.9 ± 18.7, p = 0.205). There were no intraoperative complications, there was no need for additional ports, and there were no conversions to open surgery nor postoperative complications in the DP-LATG cases. We successfully and safely performed DP-LATG without incurring any notable differences from C-LATG in terms of operation time, blood loss, and number of lymph nodes dissected.

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“…SILS is rarely applied for gastric cancer surgery. To the best of our knowledge, there have been only three reports describing this procedure for patients with EGC [5][6][7]. Furthermore, all these reports involve SIDG with one or two additional assistant ports.…”

Section: Discussionmentioning

confidence: 99%

“…Although NOTES is still being studied because of the limitations of current instruments, SILS has been frequently applied in various clinical settings, such as cholecystectomy, appendectomy, colectomy, and sleeve gastrectomy for obesity [3,4]. However, there have been only three reports about single-incision laparoscopic distal gastrectomy (SIDG) for gastric cancers [5][6][7]. Herein, we report a technical note of the first successful single-incision laparoscopic total gastrectomy (SITG) with D1?beta lymph node dissection (LND) for a patient with early proximal gastric cancer.…”

Section: Introductionmentioning

confidence: 99%