Transumbilical single-incision laparoscopic subtotal gastric resection for benign gastroduodenal ulcer

Yongsheng Chen, Shuodong Wu. Biliary & Vascular Unit, Department of General Surgery, Shengjing Hospital of China Medical University.

Background Single-incision laparoscopic surgery has been performed in a gradually widening field of application. Herein we share our experience with single-incision laparoscopic subtotal gastric resection for benign gastroduodenal ulcer.

Cases and Methods We reviewed data from 6 patients who underwent single-incision laparoscopic subtotal gastric resection between Nov 2010 and Jun 2013 at Shengjing hospital. All procedures were performed with conventional laparoscopic instruments placed through a single operating portal of entry created within the umbilicus.

Results All the operations were successfully completed without conversion to conventional laparoscopic or open surgery. The operations lasted from 230 to 360 minutes, with blood loss of 100 to 300ml. No intraoperative complications occurred. Patients were satisfied with the therapeutic and cosmetic outcomes.

Conclusions Our initial experience showed that single-incision laparoscopic subtotal gastric resection for benign gastroduodenal ulcer is feasible and safe when performed by experienced laparoscopic surgeons. Larger studies are required to confirm these findings.

 

Keywords
Single-incision laparoscopic surgery; Subtotal gastric resection; Gastroduodenal ulcer
 

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