Laparoscopic Versus Open Complete Mesocolon Excision in Right Colon Cancer: A Systematic Review and Meta-Analysis

2019 ◽  
Vol 43 (12) ◽  
pp. 3179-3190 ◽  
Author(s):  
Mohamed Ali Chaouch ◽  
Mohamed Wejih Dougaz ◽  
Ibtissem Bouasker ◽  
Hichem Jerraya ◽  
Wafa Ghariani ◽  
...  
Medicina ◽  
2021 ◽  
Vol 57 (1) ◽  
pp. 80
Author(s):  
Claudio F. Feo ◽  
Panagiotis Paliogiannis ◽  
Alessandro Fancellu ◽  
Angelo Zinellu ◽  
Giorgio C. Ginesu ◽  
...  

Background and Objectives: There is general agreement on the benefits of laparoscopy for treatment of rectal and left colon cancers, whereas findings regarding the comparison of laparoscopic and open right colonic resections are discordant. The aim of this systematic review and meta-analysis was to assess the outcomes and advantages of laparoscopic versus transverse-incision open surgery for management of right colon cancer. Materials and Methods: A systematic review was performed according to the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines. Comparative studies evaluating the results of laparoscopic and transverse-incision open right hemicolectomies were analyzed. The measured outcomes were mean operative time, time to feeding, duration of hospital stay, and number of lymph nodes harvested. Results: A total of 5 studies including 318 patients met the inclusion criteria. Meta-analysis revealed no differences in time to resume oral feeding, hospital stay, and number of lymph nodes harvested in between groups, but mean length of surgery was significantly longer in the laparoscopic group. Conclusion: These data confirm that the preferred approach to right hemicolectomy is yet unclear. Laparoscopy has a longer operative time than transverse-incision open surgery, and no significant short-term benefits were observed for the studied parameters. Well-designed randomized control trials (RCTs) might help to identify the differences between these two techniques for the surgical treatment of right colon cancer.


2017 ◽  
Vol 154 (6) ◽  
pp. 387-399 ◽  
Author(s):  
R. Cirocchi ◽  
F. Cesare Campanile ◽  
S. Di Saverio ◽  
G. Popivanov ◽  
L. Carlini ◽  
...  

Author(s):  
Aníbal Armando Medina Velasco ◽  
Ignacio Gemio del Rey ◽  
Roberto de la Plaza Llamas ◽  
Vladimir Arteaga Peralta ◽  
José Manuel Ramia

Author(s):  
Zutoia Balciscueta ◽  
Izaskun Balciscueta ◽  
Natalia Uribe ◽  
Gianluca Pellino ◽  
Matteo Frasson ◽  
...  

2019 ◽  
Vol 17 (1) ◽  
Author(s):  
Xin Liu ◽  
Wei-hong Yang ◽  
Zhou-guang Jiao ◽  
Ji-fu Zhang ◽  
Rui Zhang

Abstract Background Single-incision laparoscopic right hemicolectomy (SILS) has long used in surgery for a long time. However, there is barely a systemic review related to the comparison between the SILS and the conventional laparoscopic right hemicolectomy (CLS) for the right colon cancer in the long term follow-up. Herein, we used the most recent articles to compare these two techniques by meta-analysis. Methods We searched PubMed, Web of Science, Cochrane Library and Wanfang databases to compare SILS with CLS for right colon cancer up to May 2019. The operative, postoperative, pathological and mid-term follow-up outcomes of nine studies were extracted and compared. Results A total of 1356 patients participated in 9 studies, while 653 patients were assigned to the SILS group and 703 patients were assigned to the CLS group. The patients’ baselines in the SILS group were consistent with those in the CLS group. Compared to the CLS group, the SILS group had a shorter operation duration (SMD − 23.49, 95%CI − 36.71 to − 10.27, P < 0.001, chi-square = 24.11), shorter hospital stay (SMD − 0.76, 95% `CI − 1.07 to − 0.45, P < 0.001, chi-square = 9.85), less blood loss (SMD − 8.46, 95% CI − 14.59 to − 2.34; P < 0.05; chi-square = 2.26), smaller incision length (SMD − 1.60, 95% CI − 2.66 to − 0.55, P < 0.001; chi-square = 280.44), more lymph node harvested (SMD − 0.98, 95% CI − 1.79 to − 0.16, P < 0.05; chi-square = 4.61), and a longer proximal surgical edge (SMD − 0.51, 95% CI − 0.93 to − 0.09, P < 0.05; chi-square = 2.42). No significant difference was found in other indexes. After we removed a single large study, we performed another meta-analysis again. The operation duration in the SILS group was still better than that in the CLS group. Conclusion SILS could be a faster and more reliable approach than CLS for the right colon cancer and could accelerate patient recovery, especially for patients with a low BMI.


2020 ◽  
Vol 5 ◽  
pp. 42-42
Author(s):  
Rossella Reddavid ◽  
Giulia Osella ◽  
Francesco Evola ◽  
Lucia Puca ◽  
Letizia Spidalieri ◽  
...  

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