Comparison of short-term surgical outcomes and post-operative recovery between single-incision and multi-port laparoscopic distal gastrectomy for gastric cancer

Jiang, Haiping; Lin, Lin; Xu, Qianqian; Xu, Feipeng; Zhou, Caijin; Huang, Xianjin; Chen, Rihong

doi:10.4103/jmas.jmas_219_21

Cited by 2 publications

(2 citation statements)

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“…No difference has been reported in the number of lymph nodes resected between RPG and CLG groups. In the meta-analyses by Lin et al [ 38 ] and Zhu et al [ 39 ], there was no significant difference in the LN yield between SLG and CLG. This applies to both distal gastrectomy and total gastrectomy.…”

Section: Current Issuesmentioning

confidence: 99%

“…According to meta-analyses conducted by Alarcon et al[ 41 ], Lin et al [ 38 ], Fu et al [ 42 ], and Zhu et al [ 39 ], a common significant advantage of RPG is the reduction in the length of stay. However, because most of the studies included in the meta-analyses were retrospective, there may have been an impact of changes in institutional postoperative care policy over time.…”

Section: Current Issuesmentioning

confidence: 99%

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Current Issues in Reduced-Port Gastrectomy: A Comprehensive Review

Kim

2024

J Gastric Cancer

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Reduced-port gastrectomy (RPG) includes all procedures derived from various efforts to minimize surgical invasiveness, with single-incision laparoscopic gastrectomy (SILG) being the ultimate reduced-port technique. However, there are challenges related to its feasibility, oncological validity, training, and education. This review describes the current issues and challenges, as well as the future prospects of RPG for gastric cancer. Gastrectomy, which started as an open surgery, has evolved into a laparoscopic surgery. With the advancements in laparoscopic technology, SILG has been used to minimize surgical scarring. However, owing to the technical difficulties of SILG, cases involving the addition of 1 trocar or needle grasper alongside the multichannel port have also been reported. Additionally, 3-port laparoscopic gastrectomy (3PLG) using only 3 trocars is also being performed. RPG, as a concept, includes a range of approaches such as SILG, 2-port laparoscopic gastrectomy, and 3PLG. These techniques aimed to reduce the number of ports or incisions required for laparoscopic gastrectomy. Despite technical difficulties, RPGs offer numerous advantages, including minimal invasiveness, excellent cosmetic outcomes, and the potential for improved post-operative recovery, such as reduced length of hospital stay and post-operative pain. It could be considered similar to conventional laparoscopic gastrectomy, and may not be oncologically inferior. Ongoing studies, such as the KLASS 12, are required to gain further insights.

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Section: Current Issuesmentioning

confidence: 99%