Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 이윤택 | - |
dc.date.accessioned | 2021-05-28T16:30:50Z | - |
dc.date.available | 2021-05-28T16:30:50Z | - |
dc.date.issued | 2021 | - |
dc.identifier.issn | 2288-6575 | - |
dc.identifier.issn | 2288-6796 | - |
dc.identifier.other | OAK-29111 | - |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/257439 | - |
dc.description.abstract | Purpose: Single-incision laparoscopic distal gastrectomy (SIDG) requires experienced camera operators for a stable image. Since it is difficult for skilled camera operators to participate in all SIDG, we began performing solo surgery using mechanical camera holders. We aimed to compare the short-term outcomes and cost between solo SIDG and conventional multiport laparoscopic distal gastrectomy (MLDG) for early gastric cancer (EGC). Methods: From January 2014 to December 2016, a total of 938 consecutive patients underwent laparoscopic gastrectomy for EGC. Solo SIDG (n = 99) and MLDG patients (n = 198) were selected and 1:2 propensity score matching was done to compare the quality of operation and cost-effectiveness. All solo SIDG was performed by a surgeon using a camera holder, without any assistant. Results: Mean operation time (120 +/- 35.3 vs. 178 +/- 53.4 minutes, P = 0.001) and estimated blood loss (24.6 +/- 47.4 vs. 46.7 +/- 66.5 mL, P = 0.001) were significantly lower in the solo SIDG group. Hospital stay, use of analgesics, and postoperative inflammatory markers (WBC, CRP) were similar between the 2 groups. The early (<30 days) complication rate in solo SIDG and MLDG groups was 21.2% and 23.7%, respectively (P = 0.240); the late (>= 30 days) complication rate was 7.1% and 11.1%, respectively (P = 0.672). The manpower cost of solo SIDG was significantly lower than that of MLDG (P = 0.001). Conclusion: This study demonstrated that solo SIDG performed by experienced laparoscopic surgeons is safe and feasible for EGC. Solo SIDG is expected to be a promising potential treatment for EGC. | - |
dc.language | English | - |
dc.publisher | KOREAN SURGICAL SOCIETY | - |
dc.subject | Cost analysis | - |
dc.subject | Laparoscopy | - |
dc.subject | Stomach neoplasms | - |
dc.subject | Surgical wound | - |
dc.title | Comparing the short-term outcomes and cost between solo single-incision distal gastrectomy and conventional multiport totally laparoscopic distal gastrectomy for early gastric cancer: a propensity score-matched analysis | - |
dc.type | Article | - |
dc.relation.issue | 2 | - |
dc.relation.volume | 100 | - |
dc.relation.index | SCIE | - |
dc.relation.index | SCOPUS | - |
dc.relation.index | KCI | - |
dc.relation.startpage | 67 | - |
dc.relation.lastpage | 75 | - |
dc.relation.journaltitle | ANNALS OF SURGICAL TREATMENT AND RESEARCH | - |
dc.identifier.doi | 10.4174/astr.2021.100.2.67 | - |
dc.identifier.wosid | WOS:000617763700002 | - |
dc.identifier.scopusid | 2-s2.0-85101325971 | - |
dc.author.google | Lee, Boram | - |
dc.author.google | Youn, Sang Il | - |
dc.author.google | Lee, Kanghaeng | - |
dc.author.google | Won, Yongjoon | - |
dc.author.google | Min, Sahong | - |
dc.author.google | Lee, Yoon Taek | - |
dc.author.google | Park, Young Suk | - |
dc.author.google | Ahn, Sang-Hoon | - |
dc.author.google | Park, Do Joong | - |
dc.author.google | Kim, Hyung-Ho | - |
dc.contributor.scopusid | 이윤택(56599265100;57210808845) | - |
dc.date.modifydate | 20230906081003 | - |