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World J Surg. 2018 Sep;42(9):3008-3014. doi: 10.1007/s00268-018-4570-5.

Laparoscopic Versus Open Transverse Colectomy: A Systematic Review and Meta-Analysis.

Author information

1
Department of General and Colorectal Surgery, Northern Lincolnshire and Goole, Diana, Princess of Wales Hospital, Scartho Road, Grimsby, DN33 2BA, UK. pgavrielidis@yahoo.com.
2
Department of Interventional Radiology, School of Medicine, Patras University Hospital, 26504, Rion, Patras, Greece.

Abstract

OBJECTIVES:

The survival benefits, oncological adequacy, effectiveness, and safety of laparoscopic transverse colectomy (LTC) were compared with that of open transverse colectomy (OTC) using a meta-analysis.

METHODS:

EMBASE, Medline, Cochrane library, and Google scholar databases were searched for the last 20 years. Meta-analyses were performed using both fixed-effects and random-effects models. Five-year disease-free survival and overall survival were estimated using the inverse variance hazard ratio method.

RESULTS:

No survival benefits were detected between the two LTC and OTC cohorts. OTC showed shorter operative time by 38 min compared to LTC [mean difference (MD) = 38(15.23-60.77), p = 0.001]. However, LTC was associated with earlier postoperative recovery. The time to flatus and time to oral intake for LTC were MD = -1.12(-1.68 to -0.55, p = 0.001) and MD = -1.57(-2.38 to -0.76, p = 0.001), respectively. In addition, LTC was associated with a shorter hospital stay by 4.5 days [MD = -4.64(-7.52 to -1.75), p = 0.002].

CONCLUSIONS:

Compared to OTC, LTC provides similar survival benefits, earlier postoperative recovery, and shorter hospital stay by 4.5 days.

PMID:
29523909
DOI:
10.1007/s00268-018-4570-5
[Indexed for MEDLINE]

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