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Single incision laparoscopic right colectomy: A systematic review and meta-analysis

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Vettoretto, Nereo Cirocchi, Roberto Randolph, Justus Parisi, Amilcare Farinella, Eleonora [UCL] Romano, Giovanni

Aim: A meta-analysis was performed to compare the outcome of single incision laparoscopic right hemicolectomy with standard multiport laparoscopic right hemicolectomy. Method: 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. Results: 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. Conclusion: 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. © 2013 The Association of Coloproctology of Great Britain and Ireland.

Document type Article de périodique (Journal article) – Synthèse de littérature
Access type Accès restreint
Publication date 2014
Language Anglais
Journal information "Colorectal Disease" - Vol. 16, no. 4, p. O123-O132 (2014)
Peer reviewed yes
Publisher Wiley-Blackwell Publishing Ltd. ((United Kingdom) Oxford)
issn 1462-8910
e-issn 1463-1318
Publication status Publié
Affiliation UCL - (SLuc) Service de chirurgie et transplantation abdominale
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Bibliographic reference Vettoretto, Nereo ; Cirocchi, Roberto ; Randolph, Justus ; Parisi, Amilcare ; Farinella, Eleonora ; et. al. Single incision laparoscopic right colectomy: A systematic review and meta-analysis. In: Colorectal Disease, Vol. 16, no. 4, p. O123-O132 (2014)
Permanent URL http://hdl.handle.net/2078.1/164140