Transumbilical single-incision laparoscopic surgery for gastrointestinal disease with homemade single port device and its perioperative nutritional management
- VernacularTitle:自制经脐单孔腹腔镜装置进行胃肠手术的临床应用及营养管理
- Author:
Zhiwei JIANG
;
Jieshou LI
;
Jianfeng GONG
;
Yang BAO
;
Gang WANG
;
Haibo HUANG
;
Lifei XIE
;
Ning LI
- Publication Type:Journal Article
- Keywords:
Single port access surgery;
Gastric cancer;
Rectal cancer;
Right hemicolectomy
- From:
Parenteral & Enteral Nutrition
2010;17(1):5-7
- CountryChina
- Language:Chinese
-
Abstract:
Objective: We present our preliminary experience of using a homemade transumbilical single-port access for performing transumbilical single port access (SPA) laparoscopic surgery for gastrointestinal disease and its perioperative nutritional management.Methods: During Nov.2009-Dec.2009,five patients received SPA surgery and nutritional management following the protocol of fast track surgery.A patient with stomach GIST received partial gastrectomy,a patient with ascending colon lymphoma received right hemicolectomy,a patient with rectal cancer received anterior resection,a patient with jejunum GIST received partial small bowel resection,and a patient with early gastric cancer received distal subtotal gastrectomy (D1+α). Results: Transumbilical SPA surgery were successfully done in five patients without conversion.The mean length of incision was 3 cm,the mean time for operation was 138 (60-240)min,and the mean blood loss was 50 (10-100)ml.All patients could mobilize and orally drink on the 1st day after operation,have soft diet the 3st days after operation,their mean postoperative hospital stay was 4 days.No complication occurred.Mean body weight loss was 2.6 kg on discharge compared with at admission.Conclusion: Transumbilical SPA surgery with the protocol of fast-track surgery had advantages including shorter incision,less trauma,faster recovery,and less body weight loss.
