Needle device-assisted single-incision laparoscopic gastrectomy for early gastric cancer: A propensity score-matched analysis
- 1 July 2021
- journal article
- research article
- Published by Wiley in Asian Journal of Endoscopic Surgery
- Vol. 14 (3), 511-519
- https://doi.org/10.1111/ases.12909
Abstract
Introduction: Single-incision laparoscopic gastrectomy can be difficult because of complex instrumentation and a limited working angle. We standardized a needle device-assisted single-incision laparoscopic gastrectomy (NA-SILG) procedure for early gastric cancer in 2013. Herein, we present our technique and evaluate it in comparison to the conventional laparoscopic gastrectomy CLG) technique. Methods: We retrospectively reviewed medical records of 149 patients who underwent a NA-SILG or distal (CLG) for early gastric cancer between January 2013 and August 2016. We performed 1:1 propensity score matching between the two groups. Results: Eighteen patients who underwent a NA-SILG and 131 who underwent a CLG were included. Almost all patients were in clinical stage IA. Operative times were 216 +/- 29.7 minutes and 220 +/- 51.7 minutes for the NA-SILG and CLG groups, respectively; the median intraoperative bleeding amounts were 5 mL and 10 mL for the NA-SILG and CLG groups, respectively. The median number of retrieved lymph nodes was 41.5 and 57 for the NA-SILG and CLG groups, respectively. The number of patients needing analgesics was significantly lower in the NA-SILG group (P = .003) than in the CLG group. Neither group had postoperative complications more severe than Clavien-Dindo classification III. Conclusion: Needle device-assisted SILG is safe and feasible for early gastric cancer treatment in slim figure patients. It has short and long-term outcomes comparable to the CLG but is less invasive and results in less postoperative pain.Keywords
This publication has 27 references indexed in Scilit:
- Survival outcomes after laparoscopy-assisted distal gastrectomy versus open distal gastrectomy with nodal dissection for clinical stage IA or IB gastric cancer (JCOG0912): a multicentre, non-inferiority, phase 3 randomised controlled trialThe Lancet Gastroenterology & Hepatology, 2019
- Single-arm confirmatory trial of laparoscopy-assisted total or proximal gastrectomy with nodal dissection for clinical stage I gastric cancer: Japan Clinical Oncology Group study JCOG1401Gastric Cancer, 2019
- Comparison of Single-Incision and Conventional Multi-Port Laparoscopic Distal Gastrectomy with D2 Lymph Node Dissection for Gastric Cancer: A Propensity Score-Matched AnalysisAnnals of Surgical Oncology, 2016
- A Multi‐institutional, Prospective, Phase II Feasibility Study of Laparoscopy‐Assisted Distal Gastrectomy with D2 Lymph Node Dissection for Locally Advanced Gastric Cancer (JLSSG0901)World Journal of Surgery, 2015
- Reduced port laparoscopic gastrectomy: A review, techniques, and perspectiveAsian Journal of Endoscopic Surgery, 2014
- Pure Single-Port Laparoscopic Distal Gastrectomy for Early Gastric Cancer: Comparative Study with Multi-Port Laparoscopic Distal GastrectomyJournal of the American College of Surgeons, 2014
- Needlescopic surgery for left-sided colorectal cancerInternational Journal of Colorectal Disease, 2014
- A prospective randomized study comparing open vs laparoscopy-assisted distal gastrectomy in early gastric cancer: early resultsSurgical Endoscopy, 2004
- A randomized controlled trial comparing open vs laparoscopy-assisted distal gastrectomy for the treatment of early gastric cancer: An interim reportSurgery, 2002
- Microlaparoscopic vs conventional laparoscopic cholecystectomySurgical Endoscopy, 2001