Single incision laparoscopic right colectomy: a systematic review and meta‐analysis. (April 2014)

• Record Type: Journal Article
• Authors: Vettoretto, N.; Cirocchi, R.; Randolph, J.; Parisi, A.; Farinella, E.; Romano, G.
• Is Part Of: Colorectal disease. Volume 16:Number 4(2014)
• Page Start: O123
• Page End: O132
• Publication Date: 2014-04
• Subjects: Colon (Anatomy) -- Diseases -- Periodicals; Rectum -- Diseases -- Periodicals; 616.34
• DOI: 10.1111/codi.12526
• Languages: English
• ISSNs: 1462-8910

Abstract

<abstract abstract-type="main" id="codi12526-abs-0001"> <title>Abstract</title> <sec id="codi12526-sec-0001" sec-type="section"> <title>Aim</title> <p>A meta‐analysis was performed to compare the outcome of single incision laparoscopic right hemicolectomy with standard multiport laparoscopic right hemicolectomy.</p> </sec> <sec id="codi12526-sec-0002" sec-type="section"> <title>Method</title> <p>A systematic search of databases was carried out to extract comparative studies (randomized and non‐randomized, prospective and retrospective). Data were analysed according to Cochrane Collaboration guidelines. A meta‐analysis was performed when the data permitted this form of analysis.</p> </sec> <sec id="codi12526-sec-0003" sec-type="section"> <title>Results</title> <p>Nine comparative studies were retrieved comprising 241 patients with single incision and standard laparoscopy. None of these was randomized. There was no significant difference between the two methods for the primary end‐points of mortality, morbidity and cancer‐specific parameters and for the secondary end‐points of operation time, blood loss, ileus, hospital stay and conversion. It was not possible to analyse pain and cosmetics data owing to insufficient information.</p> </sec> <sec id="codi12526-sec-0004" sec-type="section"> <title>Conclusion</title> <p>Single incision laparoscopic right hemicolectomy is comparable with standard multiport laparoscopic right hemicolectomy in primary and secondary outcomes. Given current information it is justified to use single incision laparoscopic right hemicolectomy, but there is a need for a prospective randomized study.</p> </sec> </abstract>