Three-Port Versus Five-Port Laparoscopic Distal Gastrectomy for Early Gastric Cancer Patients: A Propensity Score Matched Case-Control Study
Aim: The aim of this study was to evaluate the feasibility and safety of three-port laparoscopic distal gastrectomy (TP-LDG) as a reduced port laparoscopic gastrectomy. Materials and Methods: We retrospectively identified 146 patients preoperatively diagnosed with early gastric cancer who underwent...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2018-11-01
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| Series: | Journal of Investigative Surgery |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/08941939.2017.1355941 |
| _version_ | 1797684550745194496 |
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| author | Sung Don Oh Sung Jin Oh |
| author_facet | Sung Don Oh Sung Jin Oh |
| author_sort | Sung Don Oh |
| collection | DOAJ |
| description | Aim: The aim of this study was to evaluate the feasibility and safety of three-port laparoscopic distal gastrectomy (TP-LDG) as a reduced port laparoscopic gastrectomy. Materials and Methods: We retrospectively identified 146 patients preoperatively diagnosed with early gastric cancer who underwent five-port laparoscopic distal gastrectomy (FP-LDG) or TP-LDG between May 2013 and July 2016. A propensity score matching analysis was used to create patient groups (48 patients in each group) matched for sex, age, body mass index, previous abdominal surgery history, and American Society of Anesthesiologist score. The short-term surgical outcomes between TP-LDG and FP-LDG were compared. Results: The TP-LDG group had a statistically shorter umbilical wound length [3.4 (range, 3.0–4.0) cm vs. 3.9 (range, 3.7–4.0) cm, p = .000], shorter operative time [230 (range, 190–310) min vs. 250 (range, 180–320) min, p = .036], and lower estimated blood loss [68 (range, 20–180) mL vs. 80 (range, 40–150) mL, p = .005] compared to that in the FP-LDG group. However, there was no specific superiority regarding inflammatory profiles. Complication rates were also similar (8.4% TP-LDG vs. 12.6% FP-LDG, p = .504). Conclusions: TP-LDG is a feasible and safe surgical procedure for the patients with early gastric cancer and provides the benefit of better cosmesis. |
| first_indexed | 2024-03-12T00:31:24Z |
| format | Article |
| id | doaj.art-90a8e4a2723c40c0bd1bdb4f0489a0e9 |
| institution | Directory Open Access Journal |
| issn | 0894-1939 1521-0553 |
| language | English |
| last_indexed | 2024-03-12T00:31:24Z |
| publishDate | 2018-11-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Journal of Investigative Surgery |
| spelling | doaj.art-90a8e4a2723c40c0bd1bdb4f0489a0e92023-09-15T10:12:28ZengTaylor & Francis GroupJournal of Investigative Surgery0894-19391521-05532018-11-0131645546310.1080/08941939.2017.13559411355941Three-Port Versus Five-Port Laparoscopic Distal Gastrectomy for Early Gastric Cancer Patients: A Propensity Score Matched Case-Control StudySung Don Oh0Sung Jin Oh1Inje University College of MedicineInje University College of MedicineAim: The aim of this study was to evaluate the feasibility and safety of three-port laparoscopic distal gastrectomy (TP-LDG) as a reduced port laparoscopic gastrectomy. Materials and Methods: We retrospectively identified 146 patients preoperatively diagnosed with early gastric cancer who underwent five-port laparoscopic distal gastrectomy (FP-LDG) or TP-LDG between May 2013 and July 2016. A propensity score matching analysis was used to create patient groups (48 patients in each group) matched for sex, age, body mass index, previous abdominal surgery history, and American Society of Anesthesiologist score. The short-term surgical outcomes between TP-LDG and FP-LDG were compared. Results: The TP-LDG group had a statistically shorter umbilical wound length [3.4 (range, 3.0–4.0) cm vs. 3.9 (range, 3.7–4.0) cm, p = .000], shorter operative time [230 (range, 190–310) min vs. 250 (range, 180–320) min, p = .036], and lower estimated blood loss [68 (range, 20–180) mL vs. 80 (range, 40–150) mL, p = .005] compared to that in the FP-LDG group. However, there was no specific superiority regarding inflammatory profiles. Complication rates were also similar (8.4% TP-LDG vs. 12.6% FP-LDG, p = .504). Conclusions: TP-LDG is a feasible and safe surgical procedure for the patients with early gastric cancer and provides the benefit of better cosmesis.http://dx.doi.org/10.1080/08941939.2017.1355941reduced port laparoscopic gastrectomythree-port laparoscopic gastrectomypropensity score matching analysisearly gastric canceroutcomes |
| spellingShingle | Sung Don Oh Sung Jin Oh Three-Port Versus Five-Port Laparoscopic Distal Gastrectomy for Early Gastric Cancer Patients: A Propensity Score Matched Case-Control Study Journal of Investigative Surgery reduced port laparoscopic gastrectomy three-port laparoscopic gastrectomy propensity score matching analysis early gastric cancer outcomes |
| title | Three-Port Versus Five-Port Laparoscopic Distal Gastrectomy for Early Gastric Cancer Patients: A Propensity Score Matched Case-Control Study |
| title_full | Three-Port Versus Five-Port Laparoscopic Distal Gastrectomy for Early Gastric Cancer Patients: A Propensity Score Matched Case-Control Study |
| title_fullStr | Three-Port Versus Five-Port Laparoscopic Distal Gastrectomy for Early Gastric Cancer Patients: A Propensity Score Matched Case-Control Study |
| title_full_unstemmed | Three-Port Versus Five-Port Laparoscopic Distal Gastrectomy for Early Gastric Cancer Patients: A Propensity Score Matched Case-Control Study |
| title_short | Three-Port Versus Five-Port Laparoscopic Distal Gastrectomy for Early Gastric Cancer Patients: A Propensity Score Matched Case-Control Study |
| title_sort | three port versus five port laparoscopic distal gastrectomy for early gastric cancer patients a propensity score matched case control study |
| topic | reduced port laparoscopic gastrectomy three-port laparoscopic gastrectomy propensity score matching analysis early gastric cancer outcomes |
| url | http://dx.doi.org/10.1080/08941939.2017.1355941 |
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