So Hyun Kang, Dr, Jan Bueno, Dr, Sa-Hong Min, Dr, Yoontaek Lee, Dr, Ki Bum Park, Dr, Young Suk Park, Prof, Sang-Hoon Ahn, Prof, Do Joong Park, Prof, Hyung-Ho Kim, Prof. Seoul National University Bundang Hospital
Introduction: Cutting-edge technology in the field of minimal invasive surgery allows the application of single-incision laparoscopic surgery on gastric cancer. However, single-incision distal gastrectomy (SIDG) is still technically difficult due to limited range of motion and unstable field of view – even in the hands of an experienced scopist. Solo surgery using a passive scope holder may be the key in allowing SIDG to be safer and efficient. We report our initial experience of 100 consecutive cases of solo SIDG.
Methods: Prospectively collected database of 100 patients clinically diagnosed as early gastric cancer who underwent solo SIDG from October 2013 until July 2016 were analyzed. All the operations were held by a single surgeon and a scrub nurse. A passive laparoscopic scope holder was controlled by the surgeon to fix the field of view.
Results: The mean operation time (SD) was 122.8 (± 34.9) minutes., and the average estimated blood loss was 30.5 ± 57.0 ml. Average body mass index was 23.4 ± 2.9 kg/m2. The median hospital stay (range) was 5 (4 – 14) days, and the mean number of retrieved lymph nodes was 56.0 ± 22.8. There was no conversion to multiport or open surgery. Early postoperative complication occurred on 7% with three delayed gastric emptying, two postoperative pneumonia, one pancreatitis, and one wound complication.
Conclusion: Solo SIDG using a passive scope holder allows SIDG to become more feasible by providing a stable field of view.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87533
Program Number: P448
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster