Related Experiment Video
Updated: Jun 7, 2026
Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
Published on: December 27, 2024
Usefulness of standardization in spreading of laparoscopy-assisted distal gastrectomy
Daisuke Ichikawa1, Naoki Hiki, Tetsu Fukunaga
1Division of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kamigyo-ku, Kyoto 6028566, Japan. ichikawa@koto.kpu-m.ac.jp
Background/Aims:
This study investigated outcomes of standardized laparoscopy-assisted distal gastrectomy (sLADG).
Methodology:
Although laparoscopic surgery was performed in patients with early gastric cancers in our hospital, a number of staff surgeons performed individualized variations of the procedure. We introduced sLADG to our hospital, and the short-term outcomes of these patients were examined.
Results:
The mean surgical duration was significantly reduced (299 min. vs. 358 min, p < 0.01), and the amount of blood loss was also significantly decreased (98 ml vs. 207 ml, p < 0.05) in the standardized procedures in comparison with the previous procedures. However, there was no significant difference in the total number of retrieved lymph nodes among open procedure, conventional and standardized LADG series. Postoperative hospital stay and the occurrence of complications were significantly shorter and less frequent in the sLADG group.
Conclusions:
Performance of sLADG by experienced surgeons is expected to promote a safe procedure without reducing surgical curability.
