Retrospective Study
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Apr 7, 2020; 26(13): 1490-1500
Published online Apr 7, 2020. doi: 10.3748/wjg.v26.i13.1490
Effectiveness and safety of a laparoscopic training system combined with modified reconstruction techniques for total laparoscopic distal gastrectomy
Shun Zhang, Hajime Orita, Hiroyuki Egawa, Ryota Matsui, Suguru Yamauchi, Yukinori Yube, Sanae Kaji, Toru Takahashi, Shinichi Oka, Noriyuki Inaki, Tetsu Fukunaga
Shun Zhang, Hajime Orita, Hiroyuki Egawa, Ryota Matsui, Suguru Yamauchi, Yukinori Yube, Sanae Kaji, Toru Takahashi, Shinichi Oka, Noriyuki Inaki, Tetsu Fukunaga, Department of Gastroenterology and Minimally Invasive Surgery, Juntendo University Hospital, Tokyo 113-8431, Japan
Shun Zhang, Department of Gastrointestinal Surgery, Shanghai East Hospital, Tongji University, Shanghai 200120, China
Ryota Matsui, Toru Takahashi, Noriyuki Inaki, Department of Surgery, Juntendo Urayasu Hospital, Juntendo University, Chiba 2790021, Japan
Author contributions: All authors performed the research; Zhang S and Orita H contributed to manuscript writing, performing procedures and data analysis; Egawa H, Matsui R, Yube Y, Kaji S, Takahashi T and Oka S contributed to performing procedures and data analysis; Egawa H and Matsui R contributed to writing the manuscript; Zhang S, Yamauchi S and Inaki N contributed to data analysis and statistical review; Orita H and Fukunaga T contributed to writing the manuscript and drafting the conception and design of this work.
Supported by Japan China Sasakawa Medical Fellowship and the China Scholarship Council, No. 201908310012.
Institutional review board statement: This study was reviewed and approved by the Institutional Review Committee of Juntendo University Hospital.
Informed consent statement: Patients were not required to give informed consent to the study because our study was done retrospectively. Data for study were obtained after each patient agreed to treatment.
Conflict-of-interest statement: The authors have no conflicts of interest to disclose.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Hajime Orita, MD, PhD, Associate Professor, Department of Gastroenterology and Minimally Invasive Surgery, Juntendo University Hospital, 3-1-3 Hongo, Bunkyo-ku, Tokyo 113-8431, Japan. oriori@juntendo.ac.jp
Received: December 12, 2019
Peer-review started: December 12, 2019
First decision: January 19, 2020
Revised: February 14, 2020
Accepted: March 5, 2020
Article in press: March 5, 2020
Published online: April 7, 2020
Processing time: 117 Days and 7.5 Hours
Core Tip

Core tip: The rapid expansion of total laparoscopic distal gastrectomy has led to concern about education for young surgeons. Laparoscopic training for young surgeons differs from training experienced previously due to fewer opportunities to perform open gastrectomy and higher technical demands. We introduced our laparoscopic training system and found that making a standard laparoscopic procedure and using the easy reconstruction method are useful in the success of the training system.