Cargando…
Systematic review of comparing single-incision versus conventional laparoscopic right hemicolectomy for right colon cancer
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...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6829956/ https://www.ncbi.nlm.nih.gov/pubmed/31685027 http://dx.doi.org/10.1186/s12957-019-1721-6 |
_version_ | 1783465679173713920 |
---|---|
author | Liu, Xin Yang, Wei-hong Jiao, Zhou-guang Zhang, Ji-fu Zhang, Rui |
author_facet | Liu, Xin Yang, Wei-hong Jiao, Zhou-guang Zhang, Ji-fu Zhang, Rui |
author_sort | Liu, Xin |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-6829956 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-68299562019-11-07 Systematic review of comparing single-incision versus conventional laparoscopic right hemicolectomy for right colon cancer Liu, Xin Yang, Wei-hong Jiao, Zhou-guang Zhang, Ji-fu Zhang, Rui World J Surg Oncol Research 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. BioMed Central 2019-11-04 /pmc/articles/PMC6829956/ /pubmed/31685027 http://dx.doi.org/10.1186/s12957-019-1721-6 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Liu, Xin Yang, Wei-hong Jiao, Zhou-guang Zhang, Ji-fu Zhang, Rui Systematic review of comparing single-incision versus conventional laparoscopic right hemicolectomy for right colon cancer |
title | Systematic review of comparing single-incision versus conventional laparoscopic right hemicolectomy for right colon cancer |
title_full | Systematic review of comparing single-incision versus conventional laparoscopic right hemicolectomy for right colon cancer |
title_fullStr | Systematic review of comparing single-incision versus conventional laparoscopic right hemicolectomy for right colon cancer |
title_full_unstemmed | Systematic review of comparing single-incision versus conventional laparoscopic right hemicolectomy for right colon cancer |
title_short | Systematic review of comparing single-incision versus conventional laparoscopic right hemicolectomy for right colon cancer |
title_sort | systematic review of comparing single-incision versus conventional laparoscopic right hemicolectomy for right colon cancer |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6829956/ https://www.ncbi.nlm.nih.gov/pubmed/31685027 http://dx.doi.org/10.1186/s12957-019-1721-6 |
work_keys_str_mv | AT liuxin systematicreviewofcomparingsingleincisionversusconventionallaparoscopicrighthemicolectomyforrightcoloncancer AT yangweihong systematicreviewofcomparingsingleincisionversusconventionallaparoscopicrighthemicolectomyforrightcoloncancer AT jiaozhouguang systematicreviewofcomparingsingleincisionversusconventionallaparoscopicrighthemicolectomyforrightcoloncancer AT zhangjifu systematicreviewofcomparingsingleincisionversusconventionallaparoscopicrighthemicolectomyforrightcoloncancer AT zhangrui systematicreviewofcomparingsingleincisionversusconventionallaparoscopicrighthemicolectomyforrightcoloncancer |