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논문 기본 정보

자료유형
학술저널
저자정보
Kim Jong Won (Department of Surgery Chung-Ang University Hospital Chung-Ang University College of Medicine Seoul) Park Joong-Min (Department of Surgery Chung-Ang University Hospital Chung-Ang University College of Medicine Seoul) Chi Kyong-Choun (Department of Surgery Chung-Ang University Hospital Chung-Ang University College of Medicine Seoul)
저널정보
대한위암학회 Journal of Gastric Cancer Journal of Gastric Cancer 제22권 제3호
발행연도
2022.7
수록면
248 - 259 (12page)
DOI
10.5230/jgc.2022.22.e24

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Purpose To overcome the technical difficulties of single-incision laparoscopic distal gastrectomy (SILDG), needle grasper (Endo ReliefTM)-assisted SILDG (NASILDG) was developed. Here, we compared the operative convenience and postoperative outcomes between SILDG and NASILDG. Materials and Methods A needle grasper was inserted into the right upper abdomen and used in the NASILDG. We retrospectively reviewed patients who underwent D1 + dissection and delta-shaped Billroth I anastomosis with SILDG or NASILDG performed by a single surgeon between September 2015 and August 2018. Results The SILDG (male, 50.0%) and NASILDG (male, 60.0%) groups included 10 and 15 patients, respectively. The operative time without combined operation and anastomosis was significantly shorter in the NASILDG group. Early complications and scar characteristics were not significantly different between the two groups. Conclusions By adding a needle grasper, SILDG became more convenient without decreasing cosmetic results. NASILDG could be a recommended method to reduce the technical difficulty of SILDG.

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