• Skip to primary navigation
  • Skip to main content
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Store
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
    • “Unofficial” Logo Products
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Fellows Career Development Course
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • OWLS
  • Log In

Comparing the Short-term Outcomes between Solo Single-incision Distal Gastrectomy (SIDG) and Conventional Multiport Laparoscopic Distal gastrectomy (MLDG) for Early Gastric Cancer (EGC) : A Propensity Score-Matched Analysis

Boram Lee, MD, Hyung-Ho Kim, Do Joong Park, Sang-Hoon Ahn, Young Suk Park, Yoon Taek Lee. Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea

Introduction: Single port laparoscopic distal gastrectomy (SPDG) usually requires an operator and a camera assistant. When performing SPDG, an experienced camera assistant is needed for stable images. However, due to the lack of skilled camera assistants, we started the solo surgery with mechanical camera holder. The aim of the study is to compare the short-term outcomes between solo SPDG and conventional multiport laparoscopic distal gastrectomy (MLDG) for gastric cancer.

Methods: From January 2014 to December 2016, a total of 938 consecutive patients with early gastric cancer underwent solo SPDG (n=103) and MLDG (n=835) performed by same surgical team. Solo SPDG can be defined as practice in which a surgeon operates alone using camera holder. MLDG usually requires two or three surgical assistants. The inclusion criteria in this study were (i) pathologic proven stage I-II gastric cancer (ii) no other malignancy (iii) more than D1 lymph node dissection (iv) R0 surgery. One-to-two propensity score matching was performed to compensate for the differences between two groups.

Results: After the propensity score matching, solo SPDG (n=99) and MLDG (n=198) patients were selected. Mean operation time (120 ± 35.3 vs 178 ± 53.4 mins, p=0.001) and estimated blood loss (EBL) (24.6 ± 47.4 vs 46.7 ± 66.5 ml, p=0.001) were signi?cantly lower in the solo SPDG group than in the MLDG group. The hospital stay and the use of pain control were similar between the two groups. Although the initiation of semi fluid diet was similar, the time to first flatus was earlier in the solo SPDG. (3.04 ± 0.85 vs 3.39 ± 0.78 days, p=0.001). The postoperative inflammatory markers (White blood cells, Serum C-reactive proteins) were similar in both groups. The early (<30day) complication rates in solo SPDG and MLDG were 7.1% and 3.0% (p=0.13). The late (≥30days) complication rates in solo SPDG and MLDG were 7.1% and 3.5% (p=0.24).

Conclusion: This study demonstrated that solo SPDG performed by experienced laparoscopic surgeons is safe and feasible for early gastric cancer comparing with MLDG. Solo SPDG is expected to have promising potential treatment method for early gastric cancer.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 87468

Program Number: P699

Presentation Session: iPoster Session (Non CME)

Presentation Type: Poster

27

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
1-310-437-0544
[email protected]
Monday - Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons