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在单孔腹腔镜远端胃癌根治术毕Ⅰ式吻合术中添加持针器用于临床早期胃癌的便利性。

Convenience of Adding a Needle Grasper in Single-Incision Laparoscopic Distal Gastrectomy With Billroth I Anastomosis for Clinical Early Gastric Cancer.

作者信息

Kim Jong Won, Park Joong-Min, Chi Kyong-Choun

机构信息

Department of Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea.

出版信息

J Gastric Cancer. 2022 Jul;22(3):248-259. doi: 10.5230/jgc.2022.22.e24.

DOI:10.5230/jgc.2022.22.e24
PMID:35938370
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9359886/
Abstract

PURPOSE

To overcome the technical difficulties of single-incision laparoscopic distal gastrectomy (SILDG), needle grasper (Endo Relief)-assisted SILDG (NASILDG) was developed. Here, we compared the operative convenience and postoperative outcomes between SILDG and NASILDG.

MATERIALS AND METHODS

A needle grasper was inserted into the right upper abdomen and used in the NASILDG. We retrospectively reviewed patients who underwent D1 + dissection and delta-shaped Billroth I anastomosis with SILDG or NASILDG performed by a single surgeon between September 2015 and August 2018.

RESULTS

The SILDG (male, 50.0%) and NASILDG (male, 60.0%) groups included 10 and 15 patients, respectively. The operative time without combined operation and anastomosis was significantly shorter in the NASILDG group. Early complications and scar characteristics were not significantly different between the two groups.

CONCLUSIONS

By adding a needle grasper, SILDG became more convenient without decreasing cosmetic results. NASILDG could be a recommended method to reduce the technical difficulty of SILDG.

摘要

目的

为克服单孔腹腔镜远端胃切除术（SILDG）的技术难题，研发了针抓钳（Endo Relief）辅助的SILDG（NASILDG）。在此，我们比较了SILDG和NASILDG在手术便利性和术后结果方面的差异。

材料与方法

将针抓钳插入右上腹并用于NASILDG。我们回顾性分析了2015年9月至2018年8月间由同一位外科医生采用SILDG或NASILDG进行D1+清扫及三角型毕Ⅰ式吻合术的患者。

结果

SILDG组（男性占50.0%）和NASILDG组（男性占60.0%）分别有10例和15例患者。NASILDG组在未进行联合手术及吻合的情况下手术时间显著更短。两组的早期并发症及瘢痕特征无显著差异。

结论

通过增加针抓钳，SILDG变得更加便利，且不影响美容效果。NASILDG可作为一种推荐方法，以降低SILDG的技术难度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94b3/9359886/13d499dfb68c/jgc-22-248-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94b3/9359886/e18588784546/jgc-22-248-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94b3/9359886/b587b90968fa/jgc-22-248-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94b3/9359886/f54262f70081/jgc-22-248-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94b3/9359886/13d499dfb68c/jgc-22-248-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94b3/9359886/e18588784546/jgc-22-248-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94b3/9359886/b587b90968fa/jgc-22-248-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94b3/9359886/f54262f70081/jgc-22-248-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94b3/9359886/13d499dfb68c/jgc-22-248-g004.jpg

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Needle device-assisted single-incision laparoscopic gastrectomy for early gastric cancer: A propensity score-matched analysis.针式器械辅助单孔腹腔镜胃癌根治术治疗早期胃癌：倾向评分匹配分析。
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