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Single-incision versus multi-port laparoscopic ileocolic resections for Crohn’s disease: Systematic review and meta-analysis

INTRODUCTION: The aim of this systematic review and meta-analysis is to compare the outcomes of single-incision laparoscopic surgery (SILS) versus multi-port laparoscopy for ileocolic resection in patients with Crohn’s disease (CD). PATIENTS AND METHODS: A systematic search of multiple electronic da...

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Autores principales: Bhattacharya, Pratik, Hussain, Mohammad Iqbal, Zaman, Shafquat, Peterknecht, Elizabeth, Tanveer, Yousaf, Mohamedahmed, Ali Yasen, Akingboye, Akinfemi, Peravali, Rajeev
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10695315/
https://www.ncbi.nlm.nih.gov/pubmed/37843163
http://dx.doi.org/10.4103/jmas.jmas_6_23
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author Bhattacharya, Pratik
Hussain, Mohammad Iqbal
Zaman, Shafquat
Peterknecht, Elizabeth
Tanveer, Yousaf
Mohamedahmed, Ali Yasen
Akingboye, Akinfemi
Peravali, Rajeev
author_facet Bhattacharya, Pratik
Hussain, Mohammad Iqbal
Zaman, Shafquat
Peterknecht, Elizabeth
Tanveer, Yousaf
Mohamedahmed, Ali Yasen
Akingboye, Akinfemi
Peravali, Rajeev
author_sort Bhattacharya, Pratik
collection PubMed
description INTRODUCTION: The aim of this systematic review and meta-analysis is to compare the outcomes of single-incision laparoscopic surgery (SILS) versus multi-port laparoscopy for ileocolic resection in patients with Crohn’s disease (CD). PATIENTS AND METHODS: A systematic search of multiple electronic databases was conducted. The peri- and post-operative outcomes were evaluated between Crohn’s patients undergoing SILS versus multi-port laparoscopy for ileocolic resection. The primary outcomes included operative time, anastomotic leak rate, post-operative wound infections and length of hospital stay. Analysed secondary outcomes were conversion rates, ileus occurrence, intra-abdominal abscess formation, return to theatre and re-admissions. Revman 5.3 was used to perform the statistical analysis. RESULTS: Five observational studies with 521 patients (SILS: 211; multi-port: 310) were included in the data synthesis. Patients undergoing SILS had a reduced total operative time compared to multi-port laparoscopy (mean difference [MD]: −16.14, 95% confidence interval: [CI] −27.23 − 5.05, P = 0.004). Post-operative hospital stay was also found to be significantly less in the SILS group (MD: −0.57, 95% CI: −0.73–−0.42, P < 0.0001). No significant difference was seen in the anastomotic leak rate (MD: −16.14, 95% CI: 0.18–1.71, P = 0.004) or post-operative wound infections (odds ratio: 0.78, 95% CI: 0.24 − 2.47, P = 0.67) between the two groups. Moreover, all the measured secondary outcomes were comparable. CONCLUSION: SILS seems to be a feasible alternative to multi-port laparoscopic surgery for ileocolic resection in patients with CD. Improved outcomes in terms of total operative time and length of hospital stay were observed in patients undergoing SILS surgery. Adopting this procedure into routine clinical practice constitutes the next step in the development of minimally invasive surgery.
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spelling pubmed-106953152023-12-05 Single-incision versus multi-port laparoscopic ileocolic resections for Crohn’s disease: Systematic review and meta-analysis Bhattacharya, Pratik Hussain, Mohammad Iqbal Zaman, Shafquat Peterknecht, Elizabeth Tanveer, Yousaf Mohamedahmed, Ali Yasen Akingboye, Akinfemi Peravali, Rajeev J Minim Access Surg Original Article INTRODUCTION: The aim of this systematic review and meta-analysis is to compare the outcomes of single-incision laparoscopic surgery (SILS) versus multi-port laparoscopy for ileocolic resection in patients with Crohn’s disease (CD). PATIENTS AND METHODS: A systematic search of multiple electronic databases was conducted. The peri- and post-operative outcomes were evaluated between Crohn’s patients undergoing SILS versus multi-port laparoscopy for ileocolic resection. The primary outcomes included operative time, anastomotic leak rate, post-operative wound infections and length of hospital stay. Analysed secondary outcomes were conversion rates, ileus occurrence, intra-abdominal abscess formation, return to theatre and re-admissions. Revman 5.3 was used to perform the statistical analysis. RESULTS: Five observational studies with 521 patients (SILS: 211; multi-port: 310) were included in the data synthesis. Patients undergoing SILS had a reduced total operative time compared to multi-port laparoscopy (mean difference [MD]: −16.14, 95% confidence interval: [CI] −27.23 − 5.05, P = 0.004). Post-operative hospital stay was also found to be significantly less in the SILS group (MD: −0.57, 95% CI: −0.73–−0.42, P < 0.0001). No significant difference was seen in the anastomotic leak rate (MD: −16.14, 95% CI: 0.18–1.71, P = 0.004) or post-operative wound infections (odds ratio: 0.78, 95% CI: 0.24 − 2.47, P = 0.67) between the two groups. Moreover, all the measured secondary outcomes were comparable. CONCLUSION: SILS seems to be a feasible alternative to multi-port laparoscopic surgery for ileocolic resection in patients with CD. Improved outcomes in terms of total operative time and length of hospital stay were observed in patients undergoing SILS surgery. Adopting this procedure into routine clinical practice constitutes the next step in the development of minimally invasive surgery. Wolters Kluwer - Medknow 2023 2023-09-14 /pmc/articles/PMC10695315/ /pubmed/37843163 http://dx.doi.org/10.4103/jmas.jmas_6_23 Text en Copyright: © 2023 Journal of Minimal Access Surgery https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Bhattacharya, Pratik
Hussain, Mohammad Iqbal
Zaman, Shafquat
Peterknecht, Elizabeth
Tanveer, Yousaf
Mohamedahmed, Ali Yasen
Akingboye, Akinfemi
Peravali, Rajeev
Single-incision versus multi-port laparoscopic ileocolic resections for Crohn’s disease: Systematic review and meta-analysis
title Single-incision versus multi-port laparoscopic ileocolic resections for Crohn’s disease: Systematic review and meta-analysis
title_full Single-incision versus multi-port laparoscopic ileocolic resections for Crohn’s disease: Systematic review and meta-analysis
title_fullStr Single-incision versus multi-port laparoscopic ileocolic resections for Crohn’s disease: Systematic review and meta-analysis
title_full_unstemmed Single-incision versus multi-port laparoscopic ileocolic resections for Crohn’s disease: Systematic review and meta-analysis
title_short Single-incision versus multi-port laparoscopic ileocolic resections for Crohn’s disease: Systematic review and meta-analysis
title_sort single-incision versus multi-port laparoscopic ileocolic resections for crohn’s disease: systematic review and meta-analysis
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10695315/
https://www.ncbi.nlm.nih.gov/pubmed/37843163
http://dx.doi.org/10.4103/jmas.jmas_6_23
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