Is the 5-ports approach necessary in laparoscopic gastrectomy? Feasibility of reduced-port totally laparoscopic gastrectomy for the treatment of gastric cancer.

Is the 5-ports approach necessary in laparoscopic gastrectomy? Feasibility of reduced-port totally laparoscopic gastrectomy for the treatment of gastric cancer.

Int J Surg. 2016 Mar 28;

Authors: Seo HS, Lee HH

Abstract
BACKGROUND/AIM: Interest of gastric cancer patients in the quality of life postoperatively with respect to reduced scarring is increasing. This study aimed to evaluate the feasibility of reduced-port totally laparoscopic gastrectomy (RepTLG) for the treatment of gastric cancer.
METHODS: In total, 170 patients who underwent RepTLG (n=97) or conventional totally laparoscopic gastrectomy (cTLG) (n=73) were enrolled. Clinicopathological features, operative details, and short-term postoperative outcomes were analyzed retrospectively and compared between groups.
RESULTS: There were no significant differences for preoperative comorbidity between the RepTLG and c TLG groups, although patients in the RepTLG group were older than those in the cTLG group (63.5±11.1 vs. 59.3±10.6; p=0.014). Operating time was shorter in the RepTLG group compared to the cTLG group (187.5±67.7 min vs. 219.6±43.3 min; p<0.001) and duration of flatus of the RepTLG group was shorter than that of the cTLG group (2.7±0.6 days vs. 2.9±0.8 days; p=0.016).
CONCLUSION: RepTLG is a reliable scar reducing method with good operative and short-term outcomes for the treatment of gastric cancer compared with cTLG.

PMID: 27034118 [PubMed - as supplied by publisher]

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