Aim: The aim of this systematic review was to compare laparoscopic with open right colectomy. Method: A literature search was carried out for randomized and non-randomized studies which compared laparoscopic and/or laparoscopic-assisted (LR Group) with open right colectomy (OR Group). The following electronic databases were used: PubMed, EMBASE, OVID Medline, Cochrane database of systematic reviews and CINAHL. Twenty one end points were analyzed. Results: Seventeen studies were identified including 15 non-randomized and two randomized clinical trials involving 1,489 patients. The mean operative time was longer in the LR group (weighted mean difference [WMD] 37.94, 95% CI 25.01 to 50.88{p<0.00001]). Intra-operative blood loss (WMD of -96.61, 95%CI --150.68, -42.54 [P= 0.0005]), length of hospital stay (WMD -1.95, 95% CI -3.29 to -0.61 [P=0.004]) and short term post-operative morbidity (OR of 0.64, 95%CI 0.49 to 0.83 [P=0.004]) were significantly in favour of LR. Conclusion: Laparoscopic right colectomy results in lower blood loss, shorter length of hospital stay and lower postoperative short-term morbidity compared with the open.
Is laparoscopic right colectomy more effective than open resection? A metanalysis of randomized and non-randomized studies.
RONDELLI, Fabio;TRASTULLI, STEFANO;AVENIA, Nicola;SCHILLACI, Giuseppe;CIROCCHI, Roberto;GULLA', Nino;NOYA, Giuseppe
2012
Abstract
Aim: The aim of this systematic review was to compare laparoscopic with open right colectomy. Method: A literature search was carried out for randomized and non-randomized studies which compared laparoscopic and/or laparoscopic-assisted (LR Group) with open right colectomy (OR Group). The following electronic databases were used: PubMed, EMBASE, OVID Medline, Cochrane database of systematic reviews and CINAHL. Twenty one end points were analyzed. Results: Seventeen studies were identified including 15 non-randomized and two randomized clinical trials involving 1,489 patients. The mean operative time was longer in the LR group (weighted mean difference [WMD] 37.94, 95% CI 25.01 to 50.88{p<0.00001]). Intra-operative blood loss (WMD of -96.61, 95%CI --150.68, -42.54 [P= 0.0005]), length of hospital stay (WMD -1.95, 95% CI -3.29 to -0.61 [P=0.004]) and short term post-operative morbidity (OR of 0.64, 95%CI 0.49 to 0.83 [P=0.004]) were significantly in favour of LR. Conclusion: Laparoscopic right colectomy results in lower blood loss, shorter length of hospital stay and lower postoperative short-term morbidity compared with the open.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
