Comparison of short-term outcomes between laparoscopically-assisted vs. transverse-incision open right hemicolectomy for right-sided colon cancer: a retrospective study

Lohsiriwat, Varut; Lohsiriwat, Darin; Chinswangwatanakul, Vitoon; Akaraviputh, Thawatchai; Lertakyamanee, Narong

doi:10.1186/1477-7819-5-49

Cited by 42 publications

(61 citation statements)

References 21 publications

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“…It is important to underscore that after 2004, the open colectomies drastically declined, whereas TL colectomies accounted more than 90% of the total. This probably happened because we were not very sure about the real effectiveness and benefits of LAC compared with the ''open'' approach for right colon surgery [17]. On the contrary, the TL procedure improved patients' comfort and (after standardization of the technique) reduced operative times (Fig.…”

Section: Discussionmentioning

confidence: 90%

Comparison of short- and medium-term results between laparoscopically assisted and totally laparoscopic right hemicolectomy: a case-control study

et al. 2010

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Section: Discussionmentioning

confidence: 90%

Comparison of short- and medium-term results between laparoscopically assisted and totally laparoscopic right hemicolectomy: a case-control study

et al. 2010

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“…Lohsiriwat et al. [14] and Tan et al [17] compared laparoscopy to transverse laparotomy in right hemicolectomies. They could not find a significant difference in parenteral analgesia requirement, bowel recovery, dietary improvements, length of hospital stay, and 30-day morbidity, implying there is no shortterm postoperative benefit of laparoscopy over a transverse incision.…”

Section: Discussionmentioning

confidence: 99%

A comparison of short-term outcome after laparoscopic, transverse, and midline right-sided colectomy

Tanis

Geloven

Bemelman

et al. 2012

Int J Colorectal Dis

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Although the results of this study need to be interpreted with care, our study shows that laparoscopic and transverse right hemicolectomy are equivalent and have a significant better short-term outcome compared to an open midline approach. In particular, laparoscopy and transverse laparotomy result in >50% reduction in 30-day morbidity, no reoperations, and a shorter median total hospital stay of 2 days.

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“…[7][8][9][10] Nevertheless, some reports comparing laparoscopic to open right colonic resections for cancer have provided conflicting results. 11,12 The main reason for this could be the diversity of procedures including right hemi-and extended right hemicolectomy, transverse colectomy, and variable and complex regional anatomy on the right side.…”

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confidence: 99%

Clinical outcome of laparoscopic and open colectomy for right colonic carcinoma

Khan

Hemandas

Flashman

et al. 2011

annals

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INTRODUCTION Laparoscopic colorectal surgery has gained widespread acceptance. While many studies have compared laparoscopic and open left-sided resections, there is limited literature on right colonic resections. We aimed to analyse the short-term outcome of laparoscopic (LRH) and open right hemicolectomy (ORH) in our unit. METHODS Consecutive patients undergoing elective right hemicolectomies over a period of 28 months were included in the study. No selection criteria were used to allocate the surgical approach. Study parameters included surgical technique, demographic details, ASA grade, body mass index (BMI), length of hospital stay (LOS), post-operative mortality and morbidity, readmission rate and histopathological data. RESULTS A total of 164 patients underwent right hemicolectomies during the study period (LRH: 89, ORH: 75). Both groups were comparable in age, sex, BMI, ASA grade, tumour stage and lymph node harvest. Four patients (4.5%) in the laparoscopic group required conversion to open surgery. In resections with curative intent, microscopic margins were positive in two patients (3%) in the ORH group compared to one (1%) in the LRH group. Seven ORH patients had an adverse post-operative outcome (three anastomotic leaks, four deaths); there were no deaths/immediate complications in the LRH group (p<0.05). The median LOS for LRH patients (4 days, range: 2–21 days) was significantly shorter than for ORH patients (8 days, range: 3–38 days) (p<0.0001, Mann–Whitney U test). By day 5, 77% of LRH patients were discharged compared with only 21% of patients in the ORH group. There were two readmissions (2.7%) in the ORH group and nine (10.1%) in the LRH group. CONCLUSIONS Our findings demonstrate advantages in favour of LRH in terms of a shorter hospital stay and reduced post-operative major complications. LRH is safe and should therefore be available to all patients requiring colonic resection.

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Comparison of short-term outcomes between laparoscopically-assisted vs. transverse-incision open right hemicolectomy for right-sided colon cancer: a retrospective study

Abstract: LRH and ORHT for right-sided colon cancer resulted in the same short-term surgical outcomes including postoperative bowel function, narcotics consumption and length of hospital stay. However, LRH required a significantly longer operating time.

Cited by 42 publications

References 21 publications

Comparison of short- and medium-term results between laparoscopically assisted and totally laparoscopic right hemicolectomy: a case-control study

Comparison of short- and medium-term results between laparoscopically assisted and totally laparoscopic right hemicolectomy: a case-control study

A comparison of short-term outcome after laparoscopic, transverse, and midline right-sided colectomy

Clinical outcome of laparoscopic and open colectomy for right colonic carcinoma

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