Related Experiment Video
Updated: Apr 16, 2026
Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
Published on: December 27, 2024
[Laparoscopic hemi-double stapling and reduced-port laparoscopic distal gastrectomy for gastric cancer]
Taku Nishimura1, Kouichiro Sakata, Junya Kondo
1Dept. of Surgery, Japan Community Health care Organization, Shimonoseki Medical Center.
Insights
Reduced-port laparoscopic distal gastrectomy with hemi-double stapling (HDS) is a safe and feasible surgical approach for gastric cancer. This minimally invasive technique demonstrated no short-term complications in a cohort of 17 patients.
Area of Science:
- Minimally invasive surgery
- Surgical oncology
- Gastrointestinal surgery
Context:
- The hemi-double stapling method (HDS) is traditionally used for extracorporeal Billroth-I anastomosis.
- Reduced-port surgery aims to minimize invasiveness and improve patient outcomes.
- Laparoscopic distal gastrectomy is a standard procedure for gastric cancer treatment.
Purpose:
- To evaluate the safety and feasibility of reduced-port laparoscopic distal gastrectomy using HDS for intracorporeal Billroth-I anastomosis.
- To assess the short-term outcomes of this surgical approach in patients with gastric cancer.
Summary:
- Reduced-port laparoscopic distal gastrectomy was performed on 17 gastric cancer patients using a multi-trocar technique (5mm and 3mm ports).
- Laparoscopic HDS was employed for intracorporeal Billroth-I anastomosis reconstruction.
- D1+ or D1 lymph node dissection was performed, and patients experienced no short-term complications.
Impact:
- Laparoscopic HDS combined with reduced-port laparoscopic distal gastrectomy represents a safe and feasible option for gastric cancer treatment.
- This approach may offer benefits of minimally invasive surgery for patients requiring Billroth-I reconstruction.
Introduction:
The hemi-double stapling method (HDS) is typically used for extracorporeal Billroth-I anastomosis. We used HDS for reduced-port surgery. Laparoscopic HDS is used for intracorporeal Billroth-I anastomosis after laparoscopic distal gastrectomy. We performed reduced-port laparoscopic distal gastrectomy for gastric cancer.
Methods:
Reduced-port laparoscopic distal gastrectomy was performed using the multi-trocar method with 5mm and 3mm ports. Laparoscopic HDS was performed using an umbilical incision and a left upper abdominal incision. A total of 17 patients underwent reduced-port laparoscopic distal gastrectomy. A D1+or D1 lymph node dissection was performed, and laparoscopic HDS was used for reconstruction.
Results:
The patients had no short-term complications.
Conclusions:
Laparoscopic HDS and reduced-port laparoscopic distal gastrectomy are safe and feasible procedures.
