Kawamura Hideki, Tanioka Toshiro, Funakoshi Tohru, Takahashi Masahiro
Department of Surgery, JA Sapporo Kosei Hospital, Japan.
Surg Laparosc Endosc Percutan Tech. 2011 Dec;21(6):429-33. doi: 10.1097/SLE.0b013e318238063c.
We performed laparoscopic gastrectomy using an umbilical port in addition with one other port (dual-ports laparoscopy-assisted distal gastrectomy, DP-LADG) since December 2009. We describe a retrospective study to evaluate the possibility of DP-LADG compared with conventional LADG (C-LADG).
The indication for DP-LADG was preoperative clinical Stage IA gastric cancer. We compared 20 patients who underwent DP-LADG with 24 patients of clinical Stage IA patients who underwent C-LADG.
The mean operation time was significantly longer for DP-LADG (250.5 min) than for C-LADG (197.5 min); however, the mean operation time for the last 5 patients undergoing DP-LADG (209 ± 31.1 min) was almost the same as that for C-LADG. There were no significant differences between DP-LADG and C-LADG in terms of blood loss, number of lymph nodes dissected, rates of conversion to open surgery, postoperative complications, and length of postoperative hospital stay.
DP-LADG is technically feasible.
自2009年12月起，我们采用脐部端口加另一个端口进行腹腔镜胃切除术（双端口腹腔镜辅助远端胃切除术，DP-LADG）。我们进行了一项回顾性研究，以评估DP-LADG与传统LADG（C-LADG）相比的可行性。
DP-LADG的适应症为术前临床IA期胃癌。我们将20例行DP-LADG的患者与24例临床IA期行C-LADG的患者进行了比较。
DP-LADG的平均手术时间（250.5分钟）明显长于C-LADG（197.5分钟）；然而，最后5例行DP-LADG患者的平均手术时间（209±31.1分钟）与C-LADG几乎相同。DP-LADG与C-LADG在失血量、清扫淋巴结数量、中转开腹手术率、术后并发症及术后住院时间方面无显著差异。
DP-LADG在技术上是可行的。
