A meta-analysis comparing hand-assisted laparoscopic right hemicolectomy and open right hemicolectomy for right-sided colon cancer
Abstract Background Mini-invasive colorectal cancer surgery was adopted widely in recent years. This meta-analysis aimed to compare hand-assisted laparoscopic surgery (HALS) with open right hemicolectomy (OS) for malignant disease. Methods PRISMA guidelines with random effects model were adopted usi...
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| Format: | Article |
| Language: | English |
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BMC
2020-05-01
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| Series: | World Journal of Surgical Oncology |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12957-020-01869-w |
| _version_ | 1818316140661702656 |
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| author | Mohamed Ali Chaouch Mohamed Wejih Dougaz Meriem Mesbehi Hichem Jerraya Ramzi Nouira Jim S. Khan Chadli Dziri |
| author_facet | Mohamed Ali Chaouch Mohamed Wejih Dougaz Meriem Mesbehi Hichem Jerraya Ramzi Nouira Jim S. Khan Chadli Dziri |
| author_sort | Mohamed Ali Chaouch |
| collection | DOAJ |
| description | Abstract Background Mini-invasive colorectal cancer surgery was adopted widely in recent years. This meta-analysis aimed to compare hand-assisted laparoscopic surgery (HALS) with open right hemicolectomy (OS) for malignant disease. Methods PRISMA guidelines with random effects model were adopted using Review Manager Version 5.3 for pooled estimates. Results Seven studies that involved 506 patients were included. Compared to OS, HALS improved results in terms of blood loss (MD = 53.67, 95% CI 10.67 to 96.67, p = 0.01), time to first flatus (MD = 21.11, 95% CI 14.99 to 27.23, p < 0.00001), postoperative pain score, and overall hospital stay (MD = 3.47, 95% CI 2.12 to 4.82, p < 0.00001). There was no difference as concerns post-operative mortality, morbidity (OR = 1.55, 95% CI 0.89 to 2.7, p = 0.12), wound infection (OR = 1.69, 95% CI 0.60 to 4.76, p = 0.32), operative time (MD = − 16.10, 95% CI [− 36.57 to 4.36], p = 0.12), harvested lymph nodes (MD = 0.59, 95% CI − 0.18 to 1.36, p = 0.13), and recurrence (OR = 0.97, 95% CI 0.30 to 3.15, p = 0.96). Conclusions HALS is an efficient alternative to OS in right colectomy which combines the advantages of OS with the mini-invasive surgery. |
| first_indexed | 2024-12-13T09:16:42Z |
| format | Article |
| id | doaj.art-3893a9de254543b18758bc72801dd7a6 |
| institution | Directory Open Access Journal |
| issn | 1477-7819 |
| language | English |
| last_indexed | 2024-12-13T09:16:42Z |
| publishDate | 2020-05-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Surgical Oncology |
| spelling | doaj.art-3893a9de254543b18758bc72801dd7a62022-12-21T23:52:49ZengBMCWorld Journal of Surgical Oncology1477-78192020-05-011811910.1186/s12957-020-01869-wA meta-analysis comparing hand-assisted laparoscopic right hemicolectomy and open right hemicolectomy for right-sided colon cancerMohamed Ali Chaouch0Mohamed Wejih Dougaz1Meriem Mesbehi2Hichem Jerraya3Ramzi Nouira4Jim S. Khan5Chadli Dziri6Department B of Surgery, Charles Nicolle Hospital, University Tunis El ManarDepartment B of Surgery, Charles Nicolle Hospital, University Tunis El ManarDepartment B of Surgery, Charles Nicolle Hospital, University Tunis El ManarDepartment B of Surgery, Charles Nicolle Hospital, University Tunis El ManarDepartment B of Surgery, Charles Nicolle Hospital, University Tunis El ManarDepartment of Colorectal Surgery, Queen Alexandra HospitalDepartment B of Surgery, Charles Nicolle Hospital, University Tunis El ManarAbstract Background Mini-invasive colorectal cancer surgery was adopted widely in recent years. This meta-analysis aimed to compare hand-assisted laparoscopic surgery (HALS) with open right hemicolectomy (OS) for malignant disease. Methods PRISMA guidelines with random effects model were adopted using Review Manager Version 5.3 for pooled estimates. Results Seven studies that involved 506 patients were included. Compared to OS, HALS improved results in terms of blood loss (MD = 53.67, 95% CI 10.67 to 96.67, p = 0.01), time to first flatus (MD = 21.11, 95% CI 14.99 to 27.23, p < 0.00001), postoperative pain score, and overall hospital stay (MD = 3.47, 95% CI 2.12 to 4.82, p < 0.00001). There was no difference as concerns post-operative mortality, morbidity (OR = 1.55, 95% CI 0.89 to 2.7, p = 0.12), wound infection (OR = 1.69, 95% CI 0.60 to 4.76, p = 0.32), operative time (MD = − 16.10, 95% CI [− 36.57 to 4.36], p = 0.12), harvested lymph nodes (MD = 0.59, 95% CI − 0.18 to 1.36, p = 0.13), and recurrence (OR = 0.97, 95% CI 0.30 to 3.15, p = 0.96). Conclusions HALS is an efficient alternative to OS in right colectomy which combines the advantages of OS with the mini-invasive surgery.http://link.springer.com/article/10.1186/s12957-020-01869-wRight colonic cancerRight hemicolectomyHand-assisted laparoscopyHALSOpen surgeryColectomy |
| spellingShingle | Mohamed Ali Chaouch Mohamed Wejih Dougaz Meriem Mesbehi Hichem Jerraya Ramzi Nouira Jim S. Khan Chadli Dziri A meta-analysis comparing hand-assisted laparoscopic right hemicolectomy and open right hemicolectomy for right-sided colon cancer World Journal of Surgical Oncology Right colonic cancer Right hemicolectomy Hand-assisted laparoscopy HALS Open surgery Colectomy |
| title | A meta-analysis comparing hand-assisted laparoscopic right hemicolectomy and open right hemicolectomy for right-sided colon cancer |
| title_full | A meta-analysis comparing hand-assisted laparoscopic right hemicolectomy and open right hemicolectomy for right-sided colon cancer |
| title_fullStr | A meta-analysis comparing hand-assisted laparoscopic right hemicolectomy and open right hemicolectomy for right-sided colon cancer |
| title_full_unstemmed | A meta-analysis comparing hand-assisted laparoscopic right hemicolectomy and open right hemicolectomy for right-sided colon cancer |
| title_short | A meta-analysis comparing hand-assisted laparoscopic right hemicolectomy and open right hemicolectomy for right-sided colon cancer |
| title_sort | meta analysis comparing hand assisted laparoscopic right hemicolectomy and open right hemicolectomy for right sided colon cancer |
| topic | Right colonic cancer Right hemicolectomy Hand-assisted laparoscopy HALS Open surgery Colectomy |
| url | http://link.springer.com/article/10.1186/s12957-020-01869-w |
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