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| Application of single incision laparoscopic surgery plus one assist port (SILS+1-AP) for distal gastric cancer for accelerated rehabilitation surgery |
| 1Department of Gastrointestinal Surgery, Fujian Cancer Hospital & Fujian Medical University Cancer Hospital, Fuzhou 350014, China; 2Fujian University of Traditional Chineses Medicine, Fuzhou 350014, China |
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Abstract Objective To investigate the feasibility and advantages of single incision laparoscopic surgery Plus One Assist Port (SILS+1-AP) technique in accelerating rehabilitation surgery in patients with distal gastric cancer. Methods A retrospective collection of 90 patients with pT1-4aNXM0 distal GC underwent laparoscopic surgery, random matched according to 1:2, including 30 cases of SILS+1-AP group, and 60 example of traditional 5-hole endoscopy group (CLS). The intraoperative observation indexes (operative time, intraoperative blood loss, and incision length) were compared between the two groups. Postoperative observations (first time after surgery, first exhaust time, extraction time of abdominal drainage tube, pain score, hospitalization days, maximum tumor diameter, number of lymph node dissections, and pain score). Results The total incision length of the SILS+1-AP group was shorter, the time of the first grounding and exhaust time were earlier, the postoperative pain was lighter, and the postoperative hospital stay was shorter (all P<0.05). The postoperative discharge time of the SILS+1-AP group was smaller than that of the CLS group (P<0.05). On the second day, for the SILS+1-AP group, the total protein and albumin were higher than those in the CLS group, but the CRP index was lower than that in the CLS group (all P<0.05). Conclusions The SILS+1-AP technique has good operability and popularity. Under the premise of the same radical degree, this technology not only reduces postoperative somatic pain, but also restores time faster and shortens hospital stay. At the same time, the surgical strike is smaller and the protection of the patient's nutritional status is better.
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2018, Vol. 5 
