Port-less Laparoscopic Distal Gastrectomy.

Introduction: The single port laparoscopic surgery has becoming attractive technique prior to NOTES from points of view such as cosmetic figure and reduction of wound pain. In Japan this technique has been increasing recently.
Aim and Methods: The aim of this paper was to assess the feasibility of single port laparoscopic distal gastrectomy. The indication of this technique was early gastric cancer. The lymph dissection was available to D1+beta level in our skill. We performed this method for eleven patients. Three ports were inserted through Gel Port and one 3mm port. Operative maneuver was similar to ordinary laparoscopic distal gastrectomy. The operative scar was only about 2 cm upper umbilicus.
Results: Operative time was 198 minutes, blood loss was 283g and post-operative stay was 15 days. These data were similar to ordinary laparoscopic surgery. Operative morbidities were none.
Conclusion: This technique was safe and feasible. By development of devices, this maneuver will be able to be performed for the patients with advanced gastric cancer. We will accumulate more cases and examine the results of this method.

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