• Department of General Surgery, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China;
WUShuo-dong, Email: wushuodong@aliyun.com
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Objective To compare clinical outcome between single-incision laparoscopic subtotal gastrectomy (SILSG) versus laparoscopy-assisted subtotal gastrectomy (LASG) in treatment of benign gastric ulcer and duodenal ulcer. Methods Clinical data of 37 patients with benign gastric ulcer or duodenal ulcer who underwent laparoscopic subtotal gastrectomy between Jan. 2008 and Feb. 2015 at Shengjing Hospital of China Medical University was collected retrospectively. Among them, 15 patients underwent SILSG and 22 patients underwent LASG. Demographic, intraoperative, and postoperative data was analyzed and compared between the 2 groups. Results The operative time of SILSG group was significantly longer than that of LASG group (P < 0.050). However, the postoperative hospital stay was significantly shorter (P < 0.050), and the total patient scar assesment scale (PSAS) score was significantly lower (P < 0.050) in the SILSG group than those of LASG group. There was no significant difference between the 2 groups with respect to other variables (P > 0.050), such as conversion rate, intraoperative blood loss, postoperative exhaust time, incidence of complication, and visual analog scale score of pain. All patients received postoperative follow up, and the period ranged from 6 months to 25 months, with a median of 11 months. During the follow up period, no one suffered from incision hernia and recurrence of ulcer. Conclusion Compared with LASG, SILSG is a technically feasible procedure with better cosmesis and equivalent curability.

Citation: CHEN Yong-sheng, WU Shuo-dong, KONG Jing. Single-Incision Laparoscopic Versus Laparoscopy-Assisted Subtotal Gastrectomy for Benign Gastric Ulcer and Duodenal Ulcer: A Retrospectively Comparative Study. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2016, 23(9): 1116-1120. doi: 10.7507/1007-9424.20160285 Copy

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