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Evaluation of Reduced Port Laparoscopic Distal Gastrectomy Performed by a Novice Surgeon

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Abstract
Purpose: Reduced port laparoscopic distal gastrectomy (RPLDG) using 3 ports is less invasive than conventional laparoscopic distal gastrectomy (CLDG) using 5 ports. Although RPLDG performed by expert surgeons is safe and feasible, novice surgeons have difficulty performing this procedure. This study evaluated the surgical outcomes and feasibility of RPLDG performed by a novice surgeon.

Materials and Methods: The records of136 patients who underwent laparoscopic distal gastrectomy for gastric cancer performed by a single novice surgeon between May 2016 and December 2018 were retrospectively reviewed. Among these 136 patients, 52 underwent RPLDG and 84 underwent CLDG. The clinicopathological characteristics, operative outcomes, and short-term postoperative outcomes of the 2 groups were compared.

Results: The percentage of women was significantly higher in the RPLDG group than in the CLDG group (48.1% vs. 31%; P=0.045), but other baseline characteristics did not differ significantly between the groups. Billroth II anastomosis was performed significantly more frequent (90.4% vs. 73.8%, P=0.015) and operation time was significantly shorter (207.1 +/- 43.3 min vs. 225.5 +/- 44.6 min, P=0.020) in the RPLDG group than in the CLDG group. The time to first flatus, postoperative pain score, length of postoperative hospital stay, and incidence and severity of complications did not differ significantly between the groups. Analysis of the learning curve based on the operation time showed that performing RPLDG on 20-30 patients was required to achieve technical proficiency.

Conclusions: RPLDG is a safe and feasible surgical procedure for the treatment ofgastric cancer, even when performed by a novice surgeon.
Author(s)
김규열박동진이은지
Issued Date
2021
Type
Article
Keyword
GastrectomyGastric cancerNovice surgeonReduced port
DOI
10.5230/jgc.2021.21.e20
URI
https://oak.ulsan.ac.kr/handle/2021.oak/8541
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_kisti_ndsl_JAKO202119559763500&context=PC&vid=ULSAN&lang=ko_KR&search_scope=default_scope&adaptor=primo_central_multiple_fe&tab=default_tab&query=any,contains,Evaluation%20of%20Reduced%20Port%20Laparoscopic%20Distal%20Gastrectomy%20Performed%20by%20a%20Novice%20Surgeon&offset=0&pcAvailability=true
Publisher
JOURNAL OF GASTRIC CANCER
Location
대한민국
Language
영어
ISSN
2093-582X
Citation Volume
21
Citation Number
2
Citation Start Page
179
Citation End Page
190
Appears in Collections:
Medicine > Medicine
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