Abstract:
Objective
To explore the clinical efficacy of laparoscopic radical gastrectomy with a single incision in the treatment of early and middle-stage gastric cancer.
Methods
The data of 150 patients with early and middle-stage gastric cancer from June 2021 to June 2024 were retrospectively analyzed. 86 patients who underwent laparoscopic radical gastrectomy with a single incision were included in the single-port group, and 64 patients who underwent traditional laparoscopic radical gastrectomy with five ports were included in the multi-port group. The SPSS 25.0 statistical software was used to analyze the data. Measurement data such as gastrointestinal hormone indexes, Visual Analogue Scale (VAS) scores, and Self-Rating Anxiety Scale(SAS) scores were expressed as (![]()
), and independent sample t test was performed; χ2 tests were performed on count data such as the occurrence of postoperative complications. P<0.05 indicated a statistically significant difference.
Results
The operation time of patients in the single-port group was longer than that in the multiport group, the intraoperative blood loss was less than that in the multi-port group, and the first exhaust time was shorter than that in the multi-port group (P<0.05). However, there was no statistically significant difference in the number of lymph node dissections and the length of hospital stay between the two groups (P>0.05). Two days after the operation, the levels of serum motilin (MOT) and gastrin (GAS) in both groups were lower than those before the operation, but those in the single-port group were higher than those in the multi-port group(P<0.05). There was no difference in the total incidence of postoperative complications between the two groups(P>0.05). There was no difference in the VAS scores between the two groups 7 days after the operation (P>0.05);the SAS score of the single-port group 7 days after the operation was lower than that of the multi-port group(P<0.05).
Conclusion
Compared with the traditional multi-port laparoscopic radical gastrectomy, although the operation time of laparoscopic radical gastrectomy with a single incision is longer, the intraoperative blood loss is less, the postoperative gastrointestinal function of patients recovers faster, and it does not affect the lymph node dissection. It can reduce the degree of postoperative anxiety of patients.
Key words:
Stomach Neoplasms,
Gastrectomy,
Laparoscopes,
Single Incision,
Gastrointestinal Hormones
Weijun Yang, Wenwen Zhang, Kai Fu. Efficacy observation of laparoscopic radical gastrectomy with single incision in the treatment of early and middle-stage gastric cancer[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(04): 434-437.