[Short-term outcomes of reduced port laparoscopy-assisted total gastrectomy].

Takahisa Yoshikawa, Shinji Murai, Shunichi Imai, Ippei Oto, Kenjiro Kitasato, Hirotomo Shimizu, Nobushige Yabe, Yuukou Kitagawa

Research output: Chapter in Book/Report/Conference proceedingChapter

3 Citations (Scopus)

Abstract

Several technological advances have been made in laparoscopic surgery, and the use of reduced port surgery (RPS)has gradually become widespread. To assess the safety and usefulness of RPS, we compared the short -term outcomes of conventional laparoscopy-assisted total gastrectomy(LATG)and LATG with the RPS approach. From April 2009 to February 2012, 16 cases with gastric cancer underwent conventional LATG with 5 ports as well as minilaparotomy for anastomosis(Conventional group). From February 2012 to November 2012, 12 cases underwent RPS LATG(RPS group). In the RPS group, a multi-instrument port at the umbilicus was used during surgery. This port held 3 trocars and 2 5-mm trocars that were inserted under the right lumbocostal arch. The mean operation time was 333 minutes in the Conventional group, and 370 minutes in the RPS group. The mean postoperative hospital stay was 23 days in the Conventional group, and 17 days in the RPS group. Postoperative mortality was 0% in both groups. Anastomotic leakage occurred in 2 cases in the Conventional group, whereas pancreatic fistula occurred in 2 cases in the RPS group. Due to postoperative bleeding, 1 case in the RPS group underwent redo laparoscopic operation. Anastomotic stenosis was noted in 4 cases in each group. The patients with stenosis required endoscopic balloon dilation several times and the symptom eventually resolved in all cases. By comparing the short-term outcomes for conventional LATG and RPS LATG, we noted that reduced port laparoscopy-assisted total gastrectomy is a feasible procedure.

Original languageEnglish
Title of host publicationGan to kagaku ryoho. Cancer & chemotherapy
Pages2295-2297
Number of pages3
Volume40
Edition12
Publication statusPublished - 2013
Externally publishedYes

Fingerprint

Gastrectomy
Laparoscopy
Surgical Instruments
Pathologic Constriction
Pancreatic Fistula
Umbilicus
Anastomotic Leak
Laparotomy
Stomach Neoplasms
Dilatation
Length of Stay
Hemorrhage
Safety

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

Cite this

Yoshikawa, T., Murai, S., Imai, S., Oto, I., Kitasato, K., Shimizu, H., ... Kitagawa, Y. (2013). [Short-term outcomes of reduced port laparoscopy-assisted total gastrectomy]. In Gan to kagaku ryoho. Cancer & chemotherapy (12 ed., Vol. 40, pp. 2295-2297)

[Short-term outcomes of reduced port laparoscopy-assisted total gastrectomy]. / Yoshikawa, Takahisa; Murai, Shinji; Imai, Shunichi; Oto, Ippei; Kitasato, Kenjiro; Shimizu, Hirotomo; Yabe, Nobushige; Kitagawa, Yuukou.

Gan to kagaku ryoho. Cancer & chemotherapy. Vol. 40 12. ed. 2013. p. 2295-2297.

Research output: Chapter in Book/Report/Conference proceedingChapter

Yoshikawa, T, Murai, S, Imai, S, Oto, I, Kitasato, K, Shimizu, H, Yabe, N & Kitagawa, Y 2013, [Short-term outcomes of reduced port laparoscopy-assisted total gastrectomy]. in Gan to kagaku ryoho. Cancer & chemotherapy. 12 edn, vol. 40, pp. 2295-2297.
Yoshikawa T, Murai S, Imai S, Oto I, Kitasato K, Shimizu H et al. [Short-term outcomes of reduced port laparoscopy-assisted total gastrectomy]. In Gan to kagaku ryoho. Cancer & chemotherapy. 12 ed. Vol. 40. 2013. p. 2295-2297
Yoshikawa, Takahisa ; Murai, Shinji ; Imai, Shunichi ; Oto, Ippei ; Kitasato, Kenjiro ; Shimizu, Hirotomo ; Yabe, Nobushige ; Kitagawa, Yuukou. / [Short-term outcomes of reduced port laparoscopy-assisted total gastrectomy]. Gan to kagaku ryoho. Cancer & chemotherapy. Vol. 40 12. ed. 2013. pp. 2295-2297
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