Single-Incision Laparoscopic Distal Gastrectomy for Early Gastric Cancer Through a Homemade Single Port Access Device

被引:4
作者
Jiang, Zhi-Wei [1 ]
Zhang, Shu [1 ]
Wang, Gang [1 ]
Zhao, Kun [1 ]
Liu, Jiang [1 ]
Ning, Li [1 ]
Li, Jieshou [1 ]
机构
[1] Nanjing Univ, Sch Med, Jinling Hosp, Res Inst Gen Surg, Nanjing, Jiangsu, Peoples R China
关键词
Single incision; Laparoscopic surgery; Fast-track surgery; Surgery; Gastrectomy; RIGHT HEMICOLECTOMY; COLORECTAL SURGERY; CHOLECYSTECTOMY; ANASTOMOSIS; COLECTOMY; SILS;
D O I
10.5754/hge14693
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Background/Aims: We presented a series of single incision laparoscopic distal gastrectomies for early. gastric cancer patients through a type of homemade single port access device and some other conventional laparoscopic instruments. Methodology: A single-incision laparoscopic distal gastrectomy with D1+alpha lymph node dissection was performed on a 46 years old male patient who had an early gastric cancer. Results: This single port access device has facilitated the conventional laparoscopic instruments to accomplish the surgery and we made in only 6 minutes. Total operating time for this surgery was 240 minutes. During the operation, there were about 100 milliliters of blood loss, and 17 lymph nodes were retrieved. Conclusion: This homemade single port access device shows its superiority in economy and convenience for complex single-incision surgeries. Single-incision laparoscopic distal gastrectomy for early gastric cancer can be conducted by experienced laparoscopic surgeons. Fully take advantage of both SILS and fast track surgery plan can bring to successful surgeries with minimal postoperative pain, quicker mobilization, early recovery of intestinal function, and better cosmesis effect for the patients.
引用
收藏
页码:518 / 523
页数:6
相关论文
共 25 条
[1]  
[Anonymous], DIAGN THER ENDOSC
[2]   Single port access laparoscopic right hemicolectomy [J].
Bucher, Pascal ;
Pugin, Francois ;
Morel, Philippe .
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, 2008, 23 (10) :1013-1016
[3]   Single-Port Access Laparoscopic Radical Left Colectomy in Humans [J].
Bucher, Pascal ;
Pugin, Francois ;
Morel, Philippe .
DISEASES OF THE COLON & RECTUM, 2009, 52 (10) :1797-1801
[4]   Transumbilical single-incision laparoscopic intracorporeal anastomosis for gastrojejunostomy: case report [J].
Bucher, Pascal ;
Pugin, Francois ;
Morel, Philippe .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2009, 23 (07) :1667-1670
[5]   A modified umbilical incision for specimen extraction after laparoscopic abdominal surgery [J].
Casciola, L. ;
Codacci-Pisanelli, M. ;
Ceccarelli, G. ;
Bartoli, A. ;
Di Zitti, L. ;
Patriti, A. .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2008, 22 (03) :784-786
[6]   Single-port-access (SPATM) cholecystectomy: a multi-institutional report of the first 297 cases [J].
Curcillo, Paul G., II ;
Wu, Andrew S. ;
Podolsky, Erica R. ;
Graybeal, Casey ;
Katkhouda, Namir ;
Saenz, Alex ;
Dunham, Robert ;
Fendley, Steven ;
Neff, Marc ;
Copper, Chad ;
Bessler, Marc ;
Gumbs, Andrew A. ;
Norton, Michael ;
Iannelli, Antonio ;
Mason, Rodney ;
Moazzez, Ashkan ;
Cohen, Larry ;
Mouhlas, Angela ;
Poor, Alex .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2010, 24 (08) :1854-1860
[7]   Single incision laparoscopic total proctocolectomy with ileopouch anal anastomosis [J].
Geisler, D. P. ;
Condon, E. T. ;
Remzi, F. H. .
COLORECTAL DISEASE, 2010, 12 (09) :941-943
[8]   Fast-track colorectal surgery [J].
Kehlet, Henrik .
LANCET, 2008, 371 (9615) :791-793
[9]   Multimodal approach to postoperative recovery [J].
Kehlet, Henrik .
CURRENT OPINION IN CRITICAL CARE, 2009, 15 (04) :355-358
[10]   Comparison of laparoscopy-assisted by conventional open distal gastrectomy and extraperigastric lymph node dissection in early gastric cancer [J].
Kim, MC ;
Kim, KH ;
Kim, HH ;
Jung, GC .
JOURNAL OF SURGICAL ONCOLOGY, 2005, 91 (01) :90-94