AUTHOR=Wei Jiangpeng , Yang Xisheng , Gao Ruiqi , Wang Weidong , Li Xiaohua , Ji Gang 

TITLE=Initial experience with triple port laparoscopic distal gastrectomy

JOURNAL=Frontiers in Oncology

VOLUME=12

YEAR=2023

URL=https://www.frontiersin.org/journals/oncology/articles/10.3389/fonc.2022.1042314

DOI=10.3389/fonc.2022.1042314

ISSN=2234-943X

ABSTRACT=<sec><title>Objective</title><p>This study aimed to compare the feasibility and short-term clinical efficacy of triple-port laparoscopic distal gastrectomy (TPLDG) with five-port laparoscopic distal gastrectomy (FPLDG).</p></sec><sec><title>Methods</title><p>From April 2020 to December 2021, this retrospective study included all consecutive patients (n = 21) who underwent TPLDG + D2 lymph node dissection, and randomly screened patients who underwent FPLDG + D2 lymph node dissection during this period (n = 30).</p></sec><sec><title>Results</title><p>There were no significant differences in intraoperative (<italic>P</italic> &gt; 0.05) and postoperative complication rate (<italic>P</italic> = 0.635) between the two groups. The changes in the first ambulation, flatus, water intake after surgery and postoperative hospitalization were also similar between the two groups (<italic>P</italic> &gt; 0.05). However, time to abdominal drainage tube removal (1.62 ± 0.15 days vs. 2.00 ± 0.12 days, <italic>P</italic> = 0.046), NRS pain score on the first postoperative day (1.91 ± 0.15 days vs. 2.47 ± 0.12 days, <italic>P</italic> = 0.004) and hemameba level on the third postoperative day (7.89 ± 0.51 days vs. 10.52 ± 0.58 days, <italic>P</italic> = 0.002) were significantly lower in the TPLDG group compared to the FPLDG group.</p></sec><sec><title>Conclusion</title><p>TPLDG is a safer, feasible, and short-term alternative to conventional LDG for distal gastric cancer.</p></sec>