지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.100 No.2
- 발행연도
- 2021.2
- 수록면
- 67 - 75 (9page)
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초록· 키워드
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Purpose: Single-incision laparoscopic distal gastrectomy (SIDG) requires experienced camera operators for a stable image. Since it is difficult for skilled camera operators to participate in all SIDG, we began performing solo surgery using mechanical camera holders. We aimed to compare the short-term outcomes and cost between solo SIDG and conventional multiport laparoscopic distal gastrectomy (MLDG) for early gastric cancer (EGC).
Methods: From January 2014 to December 2016, a total of 938 consecutive patients underwent laparoscopic gastrectomy for EGC. Solo SIDG (n = 99) and MLDG patients (n = 198) were selected and 1:2 propensity score matching was done to compare the quality of operation and cost-effectiveness. All solo SIDG was performed by a surgeon using a camera holder, without any assistant.
Results: Mean operation time (120 ± 35.3 vs. 178 ± 53.4 minutes, P = 0.001) and estimated blood loss (24.6 ± 47.4 vs. 46.7 ± 66.5 mL, P = 0.001) were significantly lower in the solo SIDG group. Hospital stay, use of analgesics, and postoperative inflammatory markers (WBC, CRP) were similar between the 2 groups. The early (<30 days) complication rate in solo SIDG and MLDG groups was 21.2% and 23.7%, respectively (P = 0.240); the late (≥30 days) complication rate was 7.1% and 11.1%, respectively (P = 0.672). The manpower cost of solo SIDG was significantly lower than that of MLDG (P = 0.001).
Conclusion: This study demonstrated that solo SIDG performed by experienced laparoscopic surgeons is safe and feasible for EGC. Solo SIDG is expected to be a promising potential treatment for EGC.
Methods: From January 2014 to December 2016, a total of 938 consecutive patients underwent laparoscopic gastrectomy for EGC. Solo SIDG (n = 99) and MLDG patients (n = 198) were selected and 1:2 propensity score matching was done to compare the quality of operation and cost-effectiveness. All solo SIDG was performed by a surgeon using a camera holder, without any assistant.
Results: Mean operation time (120 ± 35.3 vs. 178 ± 53.4 minutes, P = 0.001) and estimated blood loss (24.6 ± 47.4 vs. 46.7 ± 66.5 mL, P = 0.001) were significantly lower in the solo SIDG group. Hospital stay, use of analgesics, and postoperative inflammatory markers (WBC, CRP) were similar between the 2 groups. The early (<30 days) complication rate in solo SIDG and MLDG groups was 21.2% and 23.7%, respectively (P = 0.240); the late (≥30 days) complication rate was 7.1% and 11.1%, respectively (P = 0.672). The manpower cost of solo SIDG was significantly lower than that of MLDG (P = 0.001).
Conclusion: This study demonstrated that solo SIDG performed by experienced laparoscopic surgeons is safe and feasible for EGC. Solo SIDG is expected to be a promising potential treatment for EGC.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (21)
참고문헌 신청
Omori T / 2012 / Intracorporeal circular-stapled Billroth I anastomosis in single-incision laparoscopic distal gastrectomy / Surg Endosc 26:1490~1494
Ahn SH / 2014 / Pure single-port laparoscopic distal gastrectomy for early gastric cancer:comparative study with multi-port laparoscopic distal gastrectomy / J Am Coll Surg 219:933~943
Omori T / 2016 / Comparison of single-incision and conventional multiport laparoscopic distal gastrectomy with D2 lymph node dissection for gastric cancer: a propensity score-matched analysis / Ann Surg Oncol 23(Suppl 5):817~824
김세준 / 2016 / The feasibility of single-port laparoscopic appendectomy using a solo approach: a comparative study / Annals of Surgical Treatment and Research 90(3):164~170
Velthuis S / Comparison of short-term surgical outcomes after single-incision laparoscopic versus multiport laparoscopic right colectomy: a two-center, prospective casecontrolled study of 100 patients / Dig Surg 29:477~483
Ahn SH / 2014 / Pure single-port laparoscopic distal gastrectomy for early gastric cancer:comparative study with multi-port laparoscopic distal gastrectomy / J Am Coll Surg 219:933~943
Omori T / 2016 / Comparison of single-incision and conventional multiport laparoscopic distal gastrectomy with D2 lymph node dissection for gastric cancer: a propensity score-matched analysis / Ann Surg Oncol 23(Suppl 5):817~824
김세준 / 2016 / The feasibility of single-port laparoscopic appendectomy using a solo approach: a comparative study / Annals of Surgical Treatment and Research 90(3):164~170
Velthuis S / Comparison of short-term surgical outcomes after single-incision laparoscopic versus multiport laparoscopic right colectomy: a two-center, prospective casecontrolled study of 100 patients / Dig Surg 29:477~483
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