Right colectomy: Value of the totally laparoscopic approach

Facy, Olivier; Magistris, Luigi De; Poulain, Virginie; Goergen, Martine; Orlando, G.; Azagra, Juan Santiago

doi:10.1016/j.jviscsurg.2013.03.015

Cited by 11 publications

(12 citation statements)

References 19 publications

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“…Facy and colleagues 24 reported a 2.4% hernia rate (2 of 82) in their series of patients who underwent LRHC with IA. There was no comparison group in their review.…”

Section: -13mentioning

confidence: 95%

Laparoscopic right hemicolectomy with intracorporeal versus extracorporeal anastamosis: a comparison of short-term outcomes

Vergis

Steigerwald

Bhojani

et al. 2015

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“…Facy and colleagues 24 reported a 2.4% hernia rate (2 of 82) in their series of patients who underwent LRHC with IA. There was no comparison group in their review.…”

Section: -13mentioning

confidence: 95%

Laparoscopic right hemicolectomy with intracorporeal versus extracorporeal anastamosis: a comparison of short-term outcomes

Vergis

Steigerwald

Bhojani

et al. 2015

cjs

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“…In fact, due to the complexity of right colon laparoscopic anatomy and variable vascular peduncles that might require a greater laparoscopic experience than left colon and rectum surgery, many surgeons considered laparoscopic approach to right colon a useless and a complete waste of time. [3] However, fortunately different laparoscopic hybrid procedures including total laparoscopic right colectomy, [4] single incision laparoscopic surgery (LS) for right colon, [5] laparoscopic assisted right colectomy, [6] hand-assisted right colectomy with laparoscopic mobilization of colon by hand to the right side, [7] which have been developed to facilitate the intervention for right colonic cancers.…”

Section: Introductionmentioning

confidence: 99%

Procedural and post-operative complications associated with laparoscopic versus open abdominal surgery for right-sided colonic cancer resection

Li¹,

Meng²,

Lin

2020

Medicine

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Background: In this analysis, we aimed to systematically compare the procedural and post-operative complications (POC) associated with laparoscopic versus open abdominal surgery for right-sided colonic cancer resection. Methods: We searched MEDLINE, http://www.ClinicalTrials.gov , EMBASE, Web of Science, Cochrane Central, and Google scholar for English studies comparing the POC in patients who underwent laparoscopic versus open surgery (OS) for right colonic cancer. Data were assessed by the Cochrane-based RevMan 5.4 software (The Cochrane Community, London, UK). Mean difference (MD) with 95% confidence intervals (CIs) were used to represent the results for continuous variables, whereas risk ratios (RR) with 95% CIs were used for dichotomous data. Results: Twenty-six studies involving a total number of 3410 participants with right colonic carcinoma were included in this analysis. One thousand five hundred and fifteen participants were assigned to undergo invasive laparoscopic surgery whereas 1895 participants were assigned to the open abdominal surgery. Our results showed that the open resection was associated with a shorter length of surgery (MD: 48.63, 95% CI: 30.15–67.12; P = .00001) whereas laparoscopic intervention was associated with a shorter hospital stay [MD (–3.09), 95% CI [–5.82 to (–0.37)]; P = .03]. In addition, POC such as anastomotic leak (RR: 0.96, 95% CI: 0.60–1.55; P = .88), abdominal abscess (RR: 1.13, 95% CI: 0.52–2.49; P = .75), pulmonary embolism (RR: 0.40, 95% CI: 0.09–1.69; P = .21) and deep vein thrombosis (RR: 0.94, 95% CI: 0.39–2.28; P = .89) were not significantly different. Paralytic ileus (RR: 0.87, 95% CI: 0.67–1.11; P = .26), intra-abdominal infection (RR: 0.82, 95% CI: 0.15–4.48; P = .82), pulmonary complications (RR: 0.83, 95% CI: 0.57–1.20; P = .32), cardiac complications (RR: 0.73, 95% CI: 0.42–1.27; P = .27) and urological complications (RR: 0.83, 95% CI: 0.52–1.33; P = .44) were also similarly manifested. Our analysis also showed 30-day re-admission and re-operation, and mortality to be similar between laparoscopic versus OS for right colonic carcinoma resection. However, surgical wound infection (RR: 0.65, 95% CI: 0.50–0.86; P = .002) was significantly higher with the OS. Conclusions: In conclusion, laparoscopic surgery was almost comparable to OS in terms of post-operative outcomes for right-sided colonic cancer resection and was not associated with higher unwanted outcomes. Therefore, laparoscopic intervention should be considered as safe as the open abdominal surgery for right-sided colonic cancer resecti...

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“…Adnexal mass removal from the abdominal cavity may alternatively be performed by using suprapubic [15,16], umbilical or vaginal pathways [17][18][19][20]. Unlike in urological or gastrointestinal surgery, evidence for the feasibility of transumbilical mass retrieval in gynecology is sparse.…”

Section: Introductionmentioning

confidence: 99%

Transumbilical versus lateral transabdominal removal of benign adnexal masses in laparoscopic surgery—A randomized trial

Kilpio

Härkki

Mentula

et al. 2017

European Journal of Obstetrics & Gynecology and Reproductiv

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Right colectomy: Value of the totally laparoscopic approach

Abstract: These satisfactory results show that the totally laparoscopic approach to right colectomy is technically feasible and safe, even in obese patients. In addition, the very low rate of parietal complications is an argument in favor of this approach.

Cited by 11 publications

References 19 publications

Laparoscopic right hemicolectomy with intracorporeal versus extracorporeal anastamosis: a comparison of short-term outcomes

Laparoscopic right hemicolectomy with intracorporeal versus extracorporeal anastamosis: a comparison of short-term outcomes

Procedural and post-operative complications associated with laparoscopic versus open abdominal surgery for right-sided colonic cancer resection

Transumbilical versus lateral transabdominal removal of benign adnexal masses in laparoscopic surgery—A randomized trial

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