Abstract:

Single port+ 1 laparoscopic total gastrectomy+ D2 lymph node dissection+ esophagojejunostomy has technical challenges due to technical difficulties, complex operation and lack of triangular traction, and has not been widely used at present. We report our preliminary experience with single-port+ 1 laparoscopic total gastrectomy and D2 lymph node dissection. The previously reported method of single port with multiple channels plus a trocar (5 mm) was used to perform the surgery. The procedure of total gastrectomy and D2 lymph node dissection is the same as that of traditional laparoscopic surgery. Specimens were extracted by incision around the umbilicus, and Roux-en-Y reconstruction (overlap) was completed by in vitro jejunojejunostomy and in vivo esophagojejunostomy. The operation time was 198min, the blood loss was 30ml, no intraoperative and postoperative complications were observed, and the number of dissected lymph nodes was 50. The duration of postoperative exhaust, recovery of fluid diet and hospitalization were 2, 4, and 7 days, respectively.

Key words: Laparoscopes, Gastrectomy, D2 Lymphadenectomy