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Volume 8
Journal of Gastrointestinal & Digestive System
ISSN: 2161-069X
Page 56
JOINT EVENT
Pediatric Gastro 2018
Digestive Diseases 2018
October 22-23, 2018
October 22-23, 2018 Berlin, Germany
3
rd
International Conference on
Digestive and Metabolic Diseases
Pediatric Gastroenterology Hepatology & Nutrition
13
th
International Conference on
&
Solo single-incision pylorus-preserving gastrectomy with overlap gastro-gastrostomy for early gastric
cancer
So Hyun Kang
*Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea
†Department of Surgery, Seoul National University College of Medicine, Seoul, Korea
Introduction:
With the development of better surgical devices, there are several reports of successful multiport laparoscopic
pylorus-preserving gastrectomy (PPG). However, due to the technical difficulties in lymph node (LN) 6 dissection with
preservation of the infrapyloric vessels and intracorporeal gastro-gastrostomy (G-Gstomy), it has been challenging to apply
single-incision laparoscopic surgery to PPG. In this report, the authors report their initial experience with solo single-incision
pylorus-preserving gastrectomy (SIPPG).
Method:
Six patients underwent solo SIPGG in a single center by a single surgeon. A scope holder was used instead of an
assistant, and energy device with dual ultrasonic and bipolar actions was used for LN dissection (LND). The Intracorporeal
triangular anastomotic technique (INTACT) and the novel overlap G-Gstomy technique was used for anastomosis.
Results:
The mean operation time (range) was 136.7 (100 – 180) minutes, and there was no postoperative complication –
including delayed gastric emptying – within 30 days of the operation. The mean number of retrieved lymph nodes (range) was
51.8 (39 – 81). No patients had wound complications, and the median discharge day (range) was 3.5 (3 – 7) days postoperatively.
Conclusion:
Through the use of scope holders for stable vision, and the fine LND mode of the energy device, the challenges
regarding LND in SIPPG can be overcome. The INTACT method was first applied to the G-Gstomy, but due to its demand for
high surgical skills, the overlap method was used for G-Gstomy. Solo SIPPG with overlap G-Gstomy is safe and feasible with
great cosmetic results and fast patient recovery.
viscaria@snubh.orgJ Gastrointest Dig Syst 2018, Volume 8
DOI: 10.4172/2161-069X-C7-083