Kim Amy, Lee Chang Min, Park Sungsoo
Department of Surgery, Korea University College of Medicine, Seoul, Korea.
Department of Surgery, Korea University Ansan Hospital, Ansan, Korea.
J Gastric Cancer. 2021 Mar;21(1):38-48. doi: 10.5230/jgc.2021.21.e2. Epub 2021 Mar 11.
As the number of gastric cancer survivors is increasing and their quality of life after surgery is being emphasized, single-port surgery is emerging as an alternative to conventional gastrectomy. A novel multi-degree-of-freedom (DOF) articulating device, the ArtiSential device (LivsMed, Seongnam, Korea), was designed to allow more intuitive and meticulous control for surgeons facing ergonomic difficulties with conventional tools. In this study, we evaluated the feasibility of this new device during single-port laparoscopic distal gastrectomy (SP-LDG) for early gastric cancer (EGC) patients.
Consecutive patients diagnosed with EGC who underwent SP-LDG with ArtiSential (LivsMed) graspers between April 2018 and August 2020 were enrolled in the study. The clinical outcomes were compared with those of a control group, in which prebent graspers (Olympus Medical Systems Corp) were used for the same procedures.
Seventeen patients were enrolled in the ArtiSential group. There was no significant difference in operative time (205.4±6.0 vs. 218.1±9.9 minutes, P= 0.270) or the quality of surgery, in terms of the number of retrieved lymph nodes (49.5±3.5 vs. 45.9±4.0, P=0.473), length of hospital stay (15.4±2.0 vs. 12.4±1.3 days, P=0.588), and postoperative complications (40.0% vs. 41.2%, P=0.595), between the ArtiSential group and the control group.
The new multi-DOF articulating grasper is feasible and can be used as an alternative for prebent graspers during SP-LDG.
随着胃癌幸存者数量的增加以及术后生活质量受到重视，单孔手术正成为传统胃切除术的一种替代方案。一种新型的多自由度（DOF）关节式器械——ArtiSential器械（韩国城南LivsMed公司），旨在为面临传统工具人体工程学难题的外科医生提供更直观、精细的控制。在本研究中，我们评估了这种新器械在早期胃癌（EGC）患者单孔腹腔镜远端胃切除术（SP-LDG）中的可行性。
连续纳入2018年4月至2020年8月期间接受使用ArtiSential（LivsMed）抓钳进行SP-LDG的EGC患者。将临床结果与对照组进行比较，对照组在相同手术中使用预弯抓钳（奥林巴斯医疗系统公司）。
ArtiSential组纳入17例患者。ArtiSential组与对照组在手术时间（205.4±6.0对218.1±9.9分钟，P = 0.270）、手术质量（以获取的淋巴结数量计，49.5±3.5对45.9±4.0，P = 0.473）、住院时间（15.4±2.0对12.4±1.3天，P = 0.588）以及术后并发症（40.0%对41.2%，P = 0.595）方面均无显著差异。
新型多自由度关节式抓钳是可行的，可在SP-LDG中用作预弯抓钳的替代器械。
