Analysis of technical difficulties of single-port and reduced-port laparoscopic radical gastrectomy for gastric cancer

Abstract

Single-port and reduced-port laparoscopic radical gastrectomy as the innovative surgery for gastric cancer are gradually accepted nowadays, and more attentions are also paid to single-port and reduced-port laparoscopic radical gastrectomy due to its better cosmetic effect, less pain, lower incidence rate of surgical site infection and more advantages in enhanced recovery after surgery. However, in the early stage, the development of single-port and reduced-port laparoscopic radical gastrectomy were facing challenges and obstacles on account of limited surgical skills, the lack of special laparoscopic instruments, laparoscope and multi-port Trocar. In recent years, the dilemma and difficult situations were gradually resolved following by surgical techniques innovation, laparoscopic instruments and facilities improvement. It is believed that single-port and reduced-port laparoscopic radical gastrectomy will have a good prospect and breakthrough in the field of gastric cancer treatment in the future. Key words: Gastric neoplasms; Gastric cancer; Radical surgery; Laparoscopy; Single-incision and reduced-port; Technical difficulties