Safety and feasibility of single-incision laparoscopic distal gastrectomy in overweight and obese gastric cancer patients: a propensity score-matched analysis

• DOI: 10.1007/s10120-024-01530-5
• Publication Date: 2024-07-18T14:02:31Z
• Authors: Eunju Lee; Yun-Suhk Suh; Mira Yoo; Duyeong Hwang; So Hyun Kang; Sangjun Lee; Young Suk Park; Sang-Hoon Ahn; Seong-Ho Kong; Do Joong Park; Hyuk-Joon Lee; Hyung-Ho Kim; Han-Kwang Yang
• Keywords: Surgical oncology

Abstract Background The technical challenges and safety concerns of single-incision laparoscopic gastrectomy for overweight obese gastric cancer patients remain unclear. This study aimed to evaluate the feasibility distal (SIDG) compared multiport (MLDG) in patients. Methods retrospectively analyzed (body mass index ≥ 25 kg/m 2 ) pathologic stage T1 primary adenocarcinoma treated with either SIDG or MLDG. MLDG groups were propensity score matched at a 1:2 ratio using age, sex, height, body weight, American Society Anesthesiologists classification, year surgery, N stage, anastomosis method as covariates. Results After matching, included who underwent (n = 179) 358). No significant difference number retrieved lymph nodes was found between (52.8 ± 19.3 vs. 53.9 21.0, P 0.56). Operation times significantly shorter group (170.8 60.0 min 186.1 52.6 min, 0.004). postoperative hospital length stay comparable (SIDG: 5.9 3.4 days MLDG: 6.3 5.1 days, 0.23), complication rate 13.4% 12.8%, 0.89). Conclusions shown be safe feasible patients, early rates without compromising operation time