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Comparison of Reduced Port Totally Laparoscopic Distal Gastrectomy (Duet TLDG) and Conventional Laparoscopic-Assisted Distal Gastrectomy

  • Gastrointestinal Oncology
  • Published:
Annals of Surgical Oncology Aims and scope Submit manuscript

Abstract

Background

Laparoscopic-assisted distal gastrectomy (LADG) is a treatment method for patients with early gastric cancer; however, single or reduced port LADG has been rarely reported. This study aimed to compare surgical outcomes of patients with gastric cancer undergoing reduced port totally laparoscopic distal gastrectomy (duet TLDG) to those of patients undergoing conventional LADG.

Methods

This retrospective study included 202 patients with early gastric cancer who underwent duet TLDG (102 patients) or conventional LADG (100 patients) at Samsung Medical Center between October 2013 and April 2014.

Results

Operating time was shorter for duet TLDG than for conventional LADG (mean ± SD 121.1 ± 19.3 min vs. 153.0 ± 38.1 min, P < 0.001). Blood loss during surgery was similar between duet TLDG and conventional LADG groups (91.4 ± 68.4 mL vs. 85.4 ± 59.8 mL, P = 0.506). Complication rates in the duet TLDG and conventional LADG groups were similar (15.7 % vs. 10.0 %, P = 0.294). The quality of lymph node dissection, including the median number of nodes dissected (median [range] duet TLDG vs. conventional LADG, 36 [17–76] vs. 34 [15–64], P = 0.570) and number of dissected nodes in each lymph node station, did not differ between groups. The median postoperative hospital stay was similar (7 [7–23] days vs. 7 [6–9], P = 0.423). Pain scores were 3.6, 3.2, and 2.8, and 3.7, 3.1, and 2.6, at postoperative days 1, 3, and 5, respectively, in the duet TLDG and conventional LADG groups (P = 0.408, 0.250, and 0.130).

Conclusions

Reduced port duet TLDG for early gastric cancer is feasible in terms of patient safety and quality of lymph node dissection.

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Disclosure

The authors declare no conflict of interest.

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Authors and Affiliations

  1. Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea

    Su Mi Kim MD, Man Ho Ha MD, Jeong Eun Seo MD, Ji Eun Kim MD, Min Gew Choi MD, PhD, Tae Sung Sohn MD, PhD, Jae Moon Bae MD, PhD, Sung Kim MD, PhD & Jun Ho Lee MD, PhD

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  1. Su Mi Kim MD
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  2. Man Ho Ha MD
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  3. Jeong Eun Seo MD
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  4. Ji Eun Kim MD
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  5. Min Gew Choi MD, PhD
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  6. Tae Sung Sohn MD, PhD
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  7. Jae Moon Bae MD, PhD
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  8. Sung Kim MD, PhD
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  9. Jun Ho Lee MD, PhD
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Corresponding author

Correspondence to Jun Ho Lee MD, PhD.

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Kim, S.M., Ha, M.H., Seo, J.E. et al. Comparison of Reduced Port Totally Laparoscopic Distal Gastrectomy (Duet TLDG) and Conventional Laparoscopic-Assisted Distal Gastrectomy . Ann Surg Oncol 22, 2567–2572 (2015). https://doi.org/10.1245/s10434-014-4333-y

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  • DOI: https://doi.org/10.1245/s10434-014-4333-y

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