Clinical efficacy of single-port plus one-port laparoscopic radical gastrectomy: a short-term analysis

Enlai JIANG; Shuai WANG; Guangsheng DU; Yuan QIU; Yunbo LI; Weidong XIAO; Hua YANG

doi:10.16016/j.1000-5404.2019009006

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Clinical efficacy of single-port plus one-port laparoscopic radical gastrectomy: a short-term analysis

更新时间：2026-01-09

- Clinical efficacy of single-port plus one-port laparoscopic radical gastrectomy: a short-term analysis
- Journal of Third Military Medical University Vol. 41, Issue 23, Pages: 2348-2354(2019)
- 作者机构：
- 作者简介：
- 基金信息：
- DOI：10.16016/j.1000-5404.2019009006
  CLC：
- Received：01 September 2019，
  
  Published：15 December 2019
- 稿件说明：
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Enlai JIANG, Shuai WANG, Guangsheng DU, et al. Clinical efficacy of single-port plus one-port laparoscopic radical gastrectomy: a short-term analysis[J]. Journal of Third Military Medical University, 2019, 41(23): 2348-2354.
DOI：

Enlai JIANG, Shuai WANG, Guangsheng DU, et al. Clinical efficacy of single-port plus one-port laparoscopic radical gastrectomy: a short-term analysis[J]. Journal of Third Military Medical University, 2019, 41(23): 2348-2354. DOI： 10.16016/j.1000-5404.2019009006.

摘要

Abstract

Objective

To compare the short-term efficacy and stress indexes in patients after radical gastric cancer surgery between single-port plus one-port (SILS+1) laparoscope and traditional five-port laparoscope based on enhanced recovery after surgery (ERAS).

Methods

A total of 114 patients who underwent laparoscopic radical gastrectomy in our department from March 2017 to July 2019 were recruited in this ERAS study. According the surgical approach

they were divided into SILS+1 group (

=66) and traditional laparoscopic group (

=48). The levels of white blood cell count (WBC)

C-reactive protein (CRP)

erythrocyte sedimentation rate (ESR)

procalcitonin (PCT) and interleukin-6 (IL-6) at 1

3 and 5 d after surgery were recorded and compared between the 2 groups. What's more

operation time

incision length

intraoperative blood loss

tumor type and TNM stage were compared between the 2 groups

and the time of gastric tube removal

time of first feeding

time of first movement out of bed

time of first anal exhaust

time of first defecation and time of postoperative hospitalization were recorded.

Results

① There were no statistically significant differences in age

sex

BMI and tumor stage

or in WBC

CRP

ESR

PCT and IL-6 levels in 1 d before surgery between the 2 groups (

0.05). ② The SILS+1 laparoscopic group had significantly longer operation time than the traditional laparoscopic group (

0.05). ③ The WBC

CRP

ESR

PCT and IL-6 levels at 1

3 and 5 d after surgery were significantly lower in the SILS+1 laparoscopic group than the traditional group (

0.05). ④ The incision length

first anal exhaust time

first postoperative defecation time and total hospital stay were significantly shorter in the laparoscopic SILS+1 group than the traditional group (

0.05). There were no statistical differences in the time of gastric tube removal

time of first feeding and time of first getting out of bed between them (

0.05).

Conclusion

Under the concept of ERAS

although SILS+1 laparoscope prolongs the operation time when compared with the traditional five-port laparoscope

it can obtain better short-term clinical efficacy

and is helpful to reduce the stress responses and promote the early recovery in the patients after radical gastric cancer surgery.

关键词

Keywords

references

中国加速康复外科专家组中国加速康复外科围手术期管理专家共识(2016) 中华外科杂志 2016 54 6 413 418 10.3760/cma.j.issn.0529-5815.2016.06.004 中国加速康复外科专家组.中国加速康复外科围手术期管理专家共识(2016)[J].中华外科杂志, 2016, 54(6):413-418.

China Accelerated Rehabilitation Surgery Group China Accelerated Rehabilitation Surgery Management Expert Consensus(2016) Chin J Surg 2016 54 6 413 418 10.3760/cma.j.issn.0529-5815.2016.06.004 China Accelerated Rehabilitation Surgery Group. China Accelerated Rehabilitation Surgery Management Expert Consensus(2016)[J]. Chin J Surg, 2016, 54(6):413-418.

Japanese Gastric Cancer Association Japanese gastric cancer treatment guidelines 2014 (ver. 4) Gastric Cancer 2017 20 1 1 19 10.1007/s10120-016-0622-4 Japanese Gastric Cancer Association. Japanese gastric cancer treatment guidelines 2014 (ver. 4)[J]. Gastric Cancer, 2017, 20(1): 1-19. DOI:10.1007/s10120-016-0622-4.

ROSS S B HERNANDEZ J M SPERRY S Public perception of LESS surgery and NOTES J Gastrointest Surg 2012 16 2 344 355 10.1007/s11605-011-1763-8 ROSS S B, HERNANDEZ J M, SPERRY S, et al . Public perception of LESS surgery and NOTES[J ] . J Gastrointest Surg, 2012, 16(2): 344-355. DOI:10.1007/s11605-011-1763-8.

吴硕东苏洋单孔腹腔镜结直肠肿瘤手术实践经验及技巧中华普外科手术学杂志(电子版) 2012 6 3 230 233 http://d.old.wanfangdata.com.cn/Periodical/zhptwksszz201203001 吴硕东, 苏洋.单孔腹腔镜结直肠肿瘤手术实践经验及技巧[J].中华普外科手术学杂志(电子版), 2012, 6(3):230-233.

WU S D SU Y Practical experiences and skills of single incision laparoscopic surgery in the treatment of colorectal cancer Chin J Oper Proced Gen Surg Electron Ed 2012 6 3 230 233 http://d.old.wanfangdata.com.cn/Periodical/zhptwksszz201203001 WU S D, SU Y. Practical experiences and skills of single incision laparoscopic surgery in the treatment of colorectal cancer[J]. Chin J Oper Proced Gen Surg Electron Ed, 2012, 6(3): 230-233.

邱兴烽林立袁思波经脐单孔腹腔镜手术在结直肠癌根治术中的应用中华胃肠外科杂志 2011 14 1 34 36 10.3760/cma.j.issn.1671-0274.2011.01.011 邱兴烽, 林立, 袁思波, 等.经脐单孔腹腔镜手术在结直肠癌根治术中的应用[J].中华胃肠外科杂志, 2011, 14(1):34-36.

QIU X F LIN L YUAN S B Application of transumbilical single hole laparoscopic surgery in radical resection of colorectal cancer Chin J Gastroenterol 2011 14 1 34 36 10.3760/cma.j.issn.1671-0274.2011.01.011 QIU X F, LIN L, YUAN S B, et al . Application of transumbilical single hole laparoscopic surgery in radical resection of colorectal cancer[J ] . Chin J Gastroenterol, 2011, 14(1):34-36.

夏灿灿王刚刘江加速康复外科胃癌患者术后首次通气情况及影响因素分析腹腔镜外科杂志 2018 23 6 415 421 10.13499/j.cnki.fqjwkzz.2018.06.415 夏灿灿, 王刚, 刘江, 等.加速康复外科胃癌患者术后首次通气情况及影响因素分析[J].腹腔镜外科杂志, 2018, 23(6): 415-421. DOI:10.13499/j.cnki.fqjwkzz.2018.06.415.

XIA C C WANG G LIU J Study on the status of first aerofluxus time and its influential factors in gastric cancer patients with enhanced recovery after surgery J Laparosc Surg 2018 23 6 415 421 10.13499/j.cnki.fqjwkzz.2018.06.415 XIA C C, WANG G, LIU J, et al . Study on the status of first aerofluxus time and its influential factors in gastric cancer patients with enhanced recovery after surgery[J ] . J Laparosc Surg, 2018, 23(6): 415-421. DOI:10.13499/j.cnki.fqjwkzz.2018.06.415.

谢倩杨敏陈俐我国医院手术室术前访视的现状及展望中华护理杂志 2003 38 10 809 811 10.3321/j.issn:0254-1769.2003.10.024 谢倩, 杨敏, 陈俐, 等.我国医院手术室术前访视的现状及展望[J].中华护理杂志, 2003, 38(10): 809-811.

XIE Q YANG M CHEN L Current status and prospects of preoperative visits in hospital operating rooms in China Chin J Nurs 2003 38 10 809 811 10.3321/j.issn:0254-1769.2003.10.024 XIE Q, YANG M, CHEN L, et al . Current status and prospects of preoperative visits in hospital operating rooms in China[J ] . Chin J Nurs, 2003, 38(10): 809-811.

余佩武罗华星腹腔镜胃癌手术应用前景中华消化外科杂志 2012 11 1 45 48 10.3760/cma.j.issn.1673-9752.2012.01.013 余佩武, 罗华星.腹腔镜胃癌手术应用前景[J].中华消化外科杂志, 2012, 11(1): 45-48.

YU P W LUO H X Prospect of laparoscopic surgery for gastric cancer Chin J Dig Surg 2012 11 1 45 48 10.3760/cma.j.issn.1673-9752.2012.01.013 YU P W, LUO H X. Prospect of laparoscopic surgery for gastric cancer[J]. Chin J Dig Surg, 2012, 11 (1): 45-48.

许伟石欣腹腔镜在胃癌中应用的研究进展东南大学学报(医学版) 2013 32 3 375 379 10.3969/j.issn.1671-6264.2013.03.029 许伟, 石欣.腹腔镜在胃癌中应用的研究进展[J].东南大学学报(医学版), 2013, 32(3): 375-379.

XU W SHI X Progress in the application of laparoscopy in gastric cancer J Southeast Univ Med Sci Ed 2013 32 3 375 379 10.3969/j.issn.1671-6264.2013.03.029 XU W, SHI X. Progress in the application of laparoscopy in gastric cancer[J]. J Southeast Univ Med Sci Ed, 2013, 32(3): 375-379.

LV C WU S D WU Y L Single-incision laparoscopic versus traditional multiport laparoscopic colorectal surgery: a cumulative meta-analysis and systematic review Int J Colorectal Dis 2013 28 5 611 621 10.1007/s00384-013-1653-5 LV C, WU S D, WU Y L, et al . Single-incision laparoscopic versus traditional multiport laparoscopic colorectal surgery: a cumulative meta-analysis and systematic review [J ] . Int J Colorectal Dis, 2013, 28(5): 611-621. DOI:10.1007/s00384-013-1653-5.

AHMED K WANG T T PATEL V M The role of single-incision laparoscopic surgery in abdominal and pelvic surgery: a systematic review Surg Endosc 2011 25 2 378 396 10.1007/s00464-010-1208-6 AHMED K, WANG T T, PATEL V M, et al . The role of single-incision laparoscopic surgery in abdominal and pelvic surgery: a systematic review[J ] . Surg Endosc, 2011, 25(2): 378-396. DOI:10.1007/s00464-010-1208-6.

杜广胜江恩来邱远单孔加一孔腹腔镜全胃切除食管空肠π形吻合术治疗胃癌的可行性及初步技术经验中华胃肠外科杂志 2018 21 5 556 563 10.3760/cma.j.issn.1671-0274.2018.05.014 杜广胜, 江恩来, 邱远, 等.单孔加一孔腹腔镜全胃切除食管空肠π形吻合术治疗胃癌的可行性及初步技术经验[J].中华胃肠外科杂志, 2018, 21(5):556-563.

DU G S JIANG E L QIU Y Feasibility and preliminary technical experience of single-hole plus one-hole laparoscopic total gastrectomy for esophageal jejunum anastomosis for gastric cancer Chin J Gastroenterol 2018 21 5 556 563 10.3760/cma.j.issn.1671-0274.2018.05.014 DU G S, JIANG E L, QIU Y, et al . Feasibility and preliminary technical experience of single-hole plus one-hole laparoscopic total gastrectomy for esophageal jejunum anastomosis for gastric cancer[J ] . Chin J Gastroenterol, 2018, 21(5):556-563.

邹俊伟任双义单孔腹腔镜胃癌手术的发展与现状实用医学杂志 2016 32 15 2571 2573 10.3969/j.issn.1006-5725.2016.15.047 邹俊伟, 任双义.单孔腹腔镜胃癌手术的发展与现状[J].实用医学杂志, 2016, 32(15): 2571-2573.

ZOU J W REN S Y Development and current status of single-port laparoscopic gastric cancer surgery J Pract Med 2016 32 15 2571 2573 10.3969/j.issn.1006-5725.2016.15.047 ZOU J W, REN S Y. Development and current status of single-port laparoscopic gastric cancer surgery[J]. J Pract Med, 2016, 32(15): 2571-2573.

苏加庆 . 单孔腹腔镜联合折刀位低位直肠癌Miles术与四孔截石位对比分析 [D ] . 上海 : 第二军医大学 , 2017 . 苏加庆.单孔腹腔镜联合折刀位低位直肠癌Miles术与四孔截石位对比分析[D].上海: 第二军医大学, 2017.

SU J Q . Comparative analysis of single-hole laparoscopy combined with low-grade rectal cancer Miles and four-hole lithotomy [D ] . Shanghai : Second Military Medical University , 2017 . SU J Q. Comparative analysis of single-hole laparoscopy combined with low-grade rectal cancer Miles and four-hole lithotomy[D].Shanghai: Second Military Medical University, 2017.

张庆彤国星奇单孔腹腔镜乙状结肠癌手术中华结直肠疾病电子杂志 2018 7 1 98 100 10.3877/cma.j.issn.2095-3224.2018.01.022 张庆彤, 国星奇.单孔腹腔镜乙状结肠癌手术[J].中华结直肠疾病电子杂志, 2018, 7(1): 98-100.

ZHANG Q T GUO X Q Single incision laparoscopic surgery in sigmoid colon cancer Chin J Color Dis Electron Ed 2018 7 1 98 100 10.3877/cma.j.issn.2095-3224.2018.01.022 ZHANG Q T, GUO X Q. Single incision laparoscopic surgery in sigmoid colon cancer[J]. Chin J Color Dis Electron Ed, 2018, 7(1): 98-100.

KATSUNO G FUKUNAGA M NAGAKARI K Short-term and long-term outcomes of single-incision versus multi-incision laparoscopic resection for colorectal cancer: a propensity-score-matched analysis of 214 cases Surg Endosc 2016 30 4 1317 1325 10.1007/s00464-015-4371-y KATSUNO G, FUKUNAGA M, NAGAKARI K, et al . Short-term and long-term outcomes of single-incision versus multi-incision laparoscopic resection for colorectal cancer: a propensity-score-matched analysis of 214 cases[J ] . Surg Endosc, 2016, 30(4): 1317-1325. DOI:10.1007/s00464-015-4371-y.

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