Single-Incision Laparoscopic <i>Versus</i> Laparoscopy-Assisted Subtotal Gastrectomy for Benign Gastric Ulcer and Duodenal Ulcer: A Retrospectively Comparative Study_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 CHENYong-sheng ,  WUShuo-dong , KONGJing

Department of General Surgery, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China;

Corresponding author：

WUShuo-dong, Email: wushuodong@aliyun.com

Keywords：

Benign gastric ulcer and duodenal ulcer; Single-incision laparoscopic surgery; Subtotal gastrectomy; Complication

DOI：

10.7507/1007-9424.20160285

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To compare clinical outcome between single-incision laparoscopic subtotal gastrectomy (SILSG) versus laparoscopy-assisted subtotal gastrectomy (LASG) in treatment of benign gastric ulcer and duodenal ulcer. Methods Clinical data of 37 patients with benign gastric ulcer or duodenal ulcer who underwent laparoscopic subtotal gastrectomy between Jan. 2008 and Feb. 2015 at Shengjing Hospital of China Medical University was collected retrospectively. Among them, 15 patients underwent SILSG and 22 patients underwent LASG. Demographic, intraoperative, and postoperative data was analyzed and compared between the 2 groups. Results The operative time of SILSG group was significantly longer than that of LASG group (P < 0.050). However, the postoperative hospital stay was significantly shorter (P < 0.050), and the total patient scar assesment scale (PSAS) score was significantly lower (P < 0.050) in the SILSG group than those of LASG group. There was no significant difference between the 2 groups with respect to other variables (P > 0.050), such as conversion rate, intraoperative blood loss, postoperative exhaust time, incidence of complication, and visual analog scale score of pain. All patients received postoperative follow up, and the period ranged from 6 months to 25 months, with a median of 11 months. During the follow up period, no one suffered from incision hernia and recurrence of ulcer. Conclusion Compared with LASG, SILSG is a technically feasible procedure with better cosmesis and equivalent curability.

Citation： CHEN Yong-sheng, WU Shuo-dong, KONG Jing. Single-Incision Laparoscopic Versus Laparoscopy-Assisted Subtotal Gastrectomy for Benign Gastric Ulcer and Duodenal Ulcer: A Retrospectively Comparative Study. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2016, 23(9): 1116-1120. doi: 10.7507/1007-9424.20160285 Copy

1.	Ateş O1, Hakgüder G, Olguner M, et al. Single-port laparoscopic appendectomy conducted intracorporeally with the aid of a transabdominal sling suture. J Pediatr Surg, 2007, 42(6):1071-1074.
2.	Wu SD, Han JY, Tian Y. Single-incision iaparoscopic cholecystectomy versus conventional laparoscopic cholecystectomy:a retrospective comparative study. J Laparoendosc Adv Surg Tech A, 2011, 21(1):25-28.
3.	Katsuno G, Fukunaga M, Nagakari K, et al. Single-incision laparoscopic colectomy for colon cancer:early experience with 31 cases. Dis Colon Rectum, 2011, 54(6):705-710.
4.	Chen Y, Wu S, Kong J. Single-incision iaparoscopic combined cholecystectomy and appendectomy. JSLS, 2014, 18(3):e2014.00324.
5.	Chen Y, Wu S, Kong J. Transumbilical single-incision laparoscopic combined cholecystectomy and appendectomy:a retrospective comparative study. J Laparoendosc Adv Surg Tech A, 2014, 24(10):702-706.
6.	Aminsharifi AR, Goshtasbi B, Afsar F. Laparoendoscopic single-site nephrectomy using standard laparoscopic instruments our initial experience. Urol J, 2012, 9(4):657-661.
7.	Tian Y, Wu SD, Chen YS, et al. Transumbilical single-incision laparoscopic cholecystojejunostomy using conventional instruments:the first two cases. J Gastrointest Surg, 2010, 14(9):1429-1433.
8.	Fan Y, Wu SD, Kong J, et al. Single-incision laparoscopic splenectomy with conventional instruments:preliminary experience in consecutive patients and comparison to standard multiple-incision laparoscopic splenectomy. J Laparoendosc Adv Surg Tech A, 2014, 24(11):799-803.
9.	Pan Z, Jiang XH, Zhou JH, et al. Transumbilical single-incision laparoscopic appendectomy using conventional instruments:the single working channel technique. Surg Laparosc Endosc Percutan Tech, 2013, 23(2):208-211.
10.	Park do J, Lee JH, Ahn SH, et al. Single-port laparoscopic distal gastrectomy with D1+β lymph node dissection for gastric cancers:report of 2 cases. Surg Laparosc Endosc Percutan Tech, 2012, 22(4):e214-e216.
11.	Ozdemir BA, Thomas RL, Soon Y. Single-port laparoscopic subtotal gastrectomy with DIα lymphadenectomy. Surg Innov, 2011, 18(4):NP1-NP4.
12.	Chen YS, Wu SD, Kong J. Transumbilical single-incision laparoscopic subtotal gastrectomy and total intracorporeal reconstruction of the digestive tract in the treatment of benign peptic ulcers. J Surg Res, 2014, 192(2):421-425.
13.	Dindo D, Demartines N, Clavien PA. Classification of surgical complications:a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg, 2004, 240(2):205-213.
14.	Draaijers LJ, Tempelman FR, Botman YA, et al. The patient and observer scar assessment scale:a reliable and feasible tool for scar evaluation. Plast Reconstr Surg, 2004, 113(7):1960-1965.
15.	Lee J, Sung K, Lee D, et al. Single-port laparoscopic repair of a perforated duodenal ulcer:intracorporeal "cross and twine" knotting. Surg Endosc, 2011, 25(1):229-233.
16.	Nonaka T, Hidaka S, Takafumi A, et al. Single-incision laparoscopy-assisted subtotal gastrectomy for intractable gastric ulcer:a case report. Surg Laparosc Endosc Percutan Tech, 2012, 22(4):e210-e213.
17.	Kong J, Wu SD, Su Y. Translumenal single-incision laparoscopy radical gastrectomy with D2 lymph node dissection for early gastric cancer-primary experience with less invasive surgery in China. J Laparoendosc Adv Surg Tech A, 2013, 23(2):141-145.
18.	Tunca F, Senyurek YG, Terzioglu T, et al. Single-incision laparoscopic adrenalectomy. Surg Endosc, 2012, 26(1):36-40.
19.	Choi KK, Kim MJ, Park H, et al. Single-incision laparoscopic splenectomy versus conventional multiport laparoscopic splenectomy:a retrospective comparison of outcomes. Surg Innov, 2013, 20(1):40-45.
20.	Zapf M, Yetasook A, Leung D, et al. Single-incision results in similar pain and quality of life scores compared with multi-incision laparoscopic cholecystectomy:a blinded prospective randomized trial of 100 patients. Surgery, 2013, 154(4):662-670.
21.	Marks JM, Phillips MS, Tacchino R, et al. Single-incision laparoscopic cholecystectomy is associated with improved cosmesis scoring at the cost of significantly higher hernia rates:1-year results of a prospective randomized, multicenter, single-blinded trial of traditional multiport laparoscopic cholecystectomy vs single-incision laparoscopic cholecystectomy. J Am Coll Surg, 2013, 216(6):1037-1048.
22.	Lee DY, Rehmani SS, Guend H, et al. The incidence of trocar-site hernia in minimally invasive bariatric surgery:a comparison of multi versus single-port laparoscopy. Sur Endosc, 2013, 27(4):1287-1291.
23.	Gunderson CC, Knight J, Ybanez-Morano J, et al. The risk of umbilical hernia and other complications with laparoendoscopic single-site surgery. J Minim Invasive Gynecol, 2012, 19(1):40-45.
24.	Wagner MJ, Kern H, Hapfelmeier A, et al. Single-port cholecystectomy versus multi-port cholecystectomy:a prospective cohort study with 222 patients. World J Surg, 2013, 37(5):991-998.

1. Ateş O1, Hakgüder G, Olguner M, et al. Single-port laparoscopic appendectomy conducted intracorporeally with the aid of a transabdominal sling suture. J Pediatr Surg, 2007, 42(6):1071-1074.
2. Wu SD, Han JY, Tian Y. Single-incision iaparoscopic cholecystectomy versus conventional laparoscopic cholecystectomy:a retrospective comparative study. J Laparoendosc Adv Surg Tech A, 2011, 21(1):25-28.
3. Katsuno G, Fukunaga M, Nagakari K, et al. Single-incision laparoscopic colectomy for colon cancer:early experience with 31 cases. Dis Colon Rectum, 2011, 54(6):705-710.
4. Chen Y, Wu S, Kong J. Single-incision iaparoscopic combined cholecystectomy and appendectomy. JSLS, 2014, 18(3):e2014.00324.
5. Chen Y, Wu S, Kong J. Transumbilical single-incision laparoscopic combined cholecystectomy and appendectomy:a retrospective comparative study. J Laparoendosc Adv Surg Tech A, 2014, 24(10):702-706.
6. Aminsharifi AR, Goshtasbi B, Afsar F. Laparoendoscopic single-site nephrectomy using standard laparoscopic instruments our initial experience. Urol J, 2012, 9(4):657-661.
7. Tian Y, Wu SD, Chen YS, et al. Transumbilical single-incision laparoscopic cholecystojejunostomy using conventional instruments:the first two cases. J Gastrointest Surg, 2010, 14(9):1429-1433.
8. Fan Y, Wu SD, Kong J, et al. Single-incision laparoscopic splenectomy with conventional instruments:preliminary experience in consecutive patients and comparison to standard multiple-incision laparoscopic splenectomy. J Laparoendosc Adv Surg Tech A, 2014, 24(11):799-803.
9. Pan Z, Jiang XH, Zhou JH, et al. Transumbilical single-incision laparoscopic appendectomy using conventional instruments:the single working channel technique. Surg Laparosc Endosc Percutan Tech, 2013, 23(2):208-211.
10. Park do J, Lee JH, Ahn SH, et al. Single-port laparoscopic distal gastrectomy with D1+β lymph node dissection for gastric cancers:report of 2 cases. Surg Laparosc Endosc Percutan Tech, 2012, 22(4):e214-e216.
11. Ozdemir BA, Thomas RL, Soon Y. Single-port laparoscopic subtotal gastrectomy with DIα lymphadenectomy. Surg Innov, 2011, 18(4):NP1-NP4.
12. Chen YS, Wu SD, Kong J. Transumbilical single-incision laparoscopic subtotal gastrectomy and total intracorporeal reconstruction of the digestive tract in the treatment of benign peptic ulcers. J Surg Res, 2014, 192(2):421-425.
13. Dindo D, Demartines N, Clavien PA. Classification of surgical complications:a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg, 2004, 240(2):205-213.
14. Draaijers LJ, Tempelman FR, Botman YA, et al. The patient and observer scar assessment scale:a reliable and feasible tool for scar evaluation. Plast Reconstr Surg, 2004, 113(7):1960-1965.
15. Lee J, Sung K, Lee D, et al. Single-port laparoscopic repair of a perforated duodenal ulcer:intracorporeal "cross and twine" knotting. Surg Endosc, 2011, 25(1):229-233.
16. Nonaka T, Hidaka S, Takafumi A, et al. Single-incision laparoscopy-assisted subtotal gastrectomy for intractable gastric ulcer:a case report. Surg Laparosc Endosc Percutan Tech, 2012, 22(4):e210-e213.
17. Kong J, Wu SD, Su Y. Translumenal single-incision laparoscopy radical gastrectomy with D2 lymph node dissection for early gastric cancer-primary experience with less invasive surgery in China. J Laparoendosc Adv Surg Tech A, 2013, 23(2):141-145.
18. Tunca F, Senyurek YG, Terzioglu T, et al. Single-incision laparoscopic adrenalectomy. Surg Endosc, 2012, 26(1):36-40.
19. Choi KK, Kim MJ, Park H, et al. Single-incision laparoscopic splenectomy versus conventional multiport laparoscopic splenectomy:a retrospective comparison of outcomes. Surg Innov, 2013, 20(1):40-45.
20. Zapf M, Yetasook A, Leung D, et al. Single-incision results in similar pain and quality of life scores compared with multi-incision laparoscopic cholecystectomy:a blinded prospective randomized trial of 100 patients. Surgery, 2013, 154(4):662-670.
21. Marks JM, Phillips MS, Tacchino R, et al. Single-incision laparoscopic cholecystectomy is associated with improved cosmesis scoring at the cost of significantly higher hernia rates:1-year results of a prospective randomized, multicenter, single-blinded trial of traditional multiport laparoscopic cholecystectomy vs single-incision laparoscopic cholecystectomy. J Am Coll Surg, 2013, 216(6):1037-1048.
22. Lee DY, Rehmani SS, Guend H, et al. The incidence of trocar-site hernia in minimally invasive bariatric surgery:a comparison of multi versus single-port laparoscopy. Sur Endosc, 2013, 27(4):1287-1291.
23. Gunderson CC, Knight J, Ybanez-Morano J, et al. The risk of umbilical hernia and other complications with laparoendoscopic single-site surgery. J Minim Invasive Gynecol, 2012, 19(1):40-45.
24. Wagner MJ, Kern H, Hapfelmeier A, et al. Single-port cholecystectomy versus multi-port cholecystectomy:a prospective cohort study with 222 patients. World J Surg, 2013, 37(5):991-998.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Single-Incision Laparoscopic Versus Laparoscopy-Assisted Subtotal Gastrectomy for Benign Gastric Ulcer and Duodenal Ulcer: A Retrospectively Comparative Study

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