Comparison of intracorporeal and extracorporeal anastomosis and resection in right colectomy: a systematic review and meta-analysis
| العنوان: | Comparison of intracorporeal and extracorporeal anastomosis and resection in right colectomy: a systematic review and meta-analysis |
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| المؤلفون: | Wei Chen, Jian-Chun Zheng, Ying-Ying Wang, Jian-Xiang Wu, Yu Tang, Shuai Zhao |
| المصدر: | Langenbeck's Archives of Surgery. 406:1789-1801 |
| بيانات النشر: | Springer Science and Business Media LLC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Laparoscopic surgery, medicine.medical_specialty, Ileus, medicine.medical_treatment, Operative Time, Anastomosis, 03 medical and health sciences, 0302 clinical medicine, medicine, Humans, Prospective Studies, Prospective cohort study, Colectomy, Retrospective Studies, business.industry, Anastomosis, Surgical, Length of Stay, Vascular surgery, medicine.disease, Surgery, Treatment Outcome, Cardiothoracic surgery, 030220 oncology & carcinogenesis, Colonic Neoplasms, Right Colectomy, Laparoscopy, 030211 gastroenterology & hepatology, business, Abdominal surgery |
| الوصف: | Laparoscopic surgery is the standard surgical approach for colon cancer. However, there is no standard surgery for right colectomy. Selection between total laparoscopic right colectomy (TLRC) and laparoscopic-assisted right colectomy (LARC) is a topic of interest. In this systematic review, we compared the short-term outcomes of TLRC and LARC in the treatment of right colon cancer.We identified studies (PubMed, Web of Science, Cochrane Library, Embase) comparing TLRC and LARC up to February 2021. Surgical duration; volume of intraoperative blood loss; number of harvested lymph nodes; incision length; hospitalization duration; time to first flatus; time to first defecation; and anastomotic leakage, ileus, and wound infection were compared.Thirty studies (TLRC, 1948 patients; LARC, 2369 patients) were evaluated. All studies were retrospective, except seven prospective studies, three RCTs, and three case-control studies. TLRC demonstrated lesser intraoperative blood loss volume (P 0.01), less frequent intraoperative conversion to laparotomy (P = 0.02), shorter hospitalization duration (P 0.01), smaller incision length (P 0.01), shorter time to first flatus (P 0.01) and first defecation (P 0.01), and lesser frequent wound infection (P 0.01) compared with LARC. The surgical duration, number of harvested lymph nodes, anastomotic leakage, and ileus were similar between TLRC and LARC (P 0.05).TLRC is associated with significantly earlier bowel recovery, lesser blood loss, smaller incision length, lower rate of conversion, shorter hospitalization duration, and lesser frequent wound infection compared with LARC. |
| تدمد: | 1435-2451 1435-2443 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d003d22847407957a74aa0be7abec400 https://doi.org/10.1007/s00423-021-02235-4 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....d003d22847407957a74aa0be7abec400 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 14352451 14352443 |
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