Triple-incision laparoscopic distal gastrectomy for the resection of gastric cancer: comparison with conventional laparoscopy-assisted distal gastrectomy.
INTRODUCTION
Reduced port surgery and single-port surgery are currently in the spotlight as next-generation, minimally invasive surgical techniques. We performed a triple-incision laparoscopic distal gastrectomy (TIL-DG) for gastric cancer as a reduced port surgery.


METHOD
A total of 76 patients underwent a TIL-DG. A D1+ or D2 lymph node dissection was performed, and the Roux-en-Y method was used for reconstruction. The short-term patient outcomes of the TIL-DG group were compared with those of the conventional laparoscopy-assisted distal gastrectomy group (59 cases) to evaluate the feasibility of TIL-DG.


RESULTS
No significant differences were observed between the TIL-DG group and the laparoscopy-assisted distal gastrectomy group in terms of mean operative time, blood loss, and the length of the postoperative hospital stay. The mean number of retrieved regional lymph nodes in the TIL-DG group was slightly higher than that in the laparoscopy-assisted distal gastrectomy group.


CONCLUSION
A triple-incision laparoscopic distal gastrectomy is a feasible and safe procedure.
['Usui|Shinsuke|S|', 'Tashiro|Masaki|M|', 'Haruki|Shigeo|S|', 'Matsumoto|Akiyo|A|']
D000368:Aged D000369:Aged, 80 and over D000713:Anastomosis, Roux-en-Y D005240:Feasibility Studies D005260:Female D005743:Gastrectomy D015390:Gastric Bypass D006801:Humans D010535:Laparoscopy D007902:Length of Stay D008197:Lymph Node Excision D008297:Male D008875:Middle Aged D061646:Operative Time D012189:Retrospective Studies D013274:Stomach Neoplasms D016896:Treatment Outcome
laparoscopy-assisted distal gastrectomy reduced port surgery LADG