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Case Reports in Surgery
Volume 2013, Article ID 504549, 4 pages
Case Report

Single Incision Laparoscopic Total Gastrectomy and D2 Lymph Node Dissection for Gastric Cancer Using a Four-Access Single Port: The First Experience

1General Surgery Clinic, Kozyatagi Acibadem Hospital, 34742 Istanbul, Turkey
2Department of General Surgery, Cerrahpasa Medical Faculty, Istanbul University, Cerrahpasa, Fatih, 34098 Istanbul, Turkey

Received 11 June 2013; Accepted 25 July 2013

Academic Editors: T. Çolak and S. H. Ein

Copyright © 2013 Metin Ertem et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Single incision laparoscopic surgery (SILS) and natural orifice transluminal endoscopic surgery (NOTES) have been developed to reduce the invasiveness of laparoscopic surgery. SILS has been frequently applied in various clinical settings, such as cholecystectomy, colectomy, and sleeve gastrectomy. So far, there have been four reports on single incision laparoscopic distal gastrectomy and one report on single incision laparoscopic total gastrectomy with D1 lymph node dissection for gastric cancer. In this report, we present our single incision laparoscopic total gastrectomy with D2 lymph node dissection technique using a four-hole single port (OctoPort) in a patient with gastric cancer.