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Related Experiment Video

Updated: Aug 10, 2025

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
03:32

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment

Published on: December 27, 2024

859

Initial experience with triple port laparoscopic distal gastrectomy.

Jiangpeng Wei1, Xisheng Yang1, Ruiqi Gao1

  • 1Department of Gastrointestinal Surgery, Xijing Hospital of Digestive Diseases, Fourth Military Medical University, Xi'an, China.

Frontiers in Oncology
|February 13, 2023
PubMed
Summary

Triple-port laparoscopic distal gastrectomy (TPLDG) is a feasible and safe alternative to five-port laparoscopic distal gastrectomy (FPLDG) for treating distal gastric cancer. TPLDG shows reduced pain and faster recovery, making it a promising option for patients.

Keywords:
FPLDGTPLDGdistal gastrectomygastric cancerlaparoscopic surgery

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Area of Science:

  • Surgical Oncology
  • Minimally Invasive Surgery
  • Gastrointestinal Surgery

Background:

  • Laparoscopic distal gastrectomy is a standard procedure for gastric cancer.
  • Minimally invasive techniques aim to reduce surgical trauma and improve patient outcomes.
  • Optimizing port configurations in laparoscopic surgery is crucial for feasibility and efficacy.

Purpose of the Study:

  • To compare the feasibility and short-term clinical efficacy of triple-port laparoscopic distal gastrectomy (TPLDG) versus five-port laparoscopic distal gastrectomy (FPLDG).
  • To evaluate operative outcomes, complication rates, and recovery parameters between TPLDG and FPLDG.

Main Methods:

  • Retrospective study including 21 patients undergoing TPLDG and 30 patients undergoing FPLDG with D2 lymph node dissection.
  • Data collected included intraoperative parameters, postoperative complications, pain scores, and recovery milestones.
  • Statistical analysis was performed to compare outcomes between the two groups.

Main Results:

  • No significant differences in intraoperative or postoperative complication rates were observed between TPLDG and FPLDG.
  • Patients in the TPLDG group experienced significantly lower postoperative pain scores on the first day.
  • The TPLDG group showed a shorter time to abdominal drainage tube removal and lower hemameba levels on postoperative day three.

Conclusions:

  • Triple-port laparoscopic distal gastrectomy (TPLDG) is a safe and feasible alternative to conventional laparoscopic distal gastrectomy (LDG).
  • TPLDG demonstrates potential advantages in reducing postoperative pain and accelerating recovery compared to FPLDG.
  • TPLDG offers a promising minimally invasive approach for distal gastric cancer treatment.