Abstract:Our data suggest that selective emergency laparoscopy for colon cancer is not inferior to open surgery with regard to short- and long-term outcomes. Laparoscopy resulted in a shorter length of hospital stay.
“…Patients who underwent LAP stayed in the hospital after surgery for a shorter duration of time than did those who underwent OP. Several studies have reported similar results regarding short‐term outcomes …”
Section: Discussionsupporting
confidence: 57%
“…Several studies have reported similar results regarding short-term outcomes. [10][11][12][13] Regarding long-term outcomes in the present study, there was no significant difference in DFS or OS between LAP and OP. Some RCTs and propensity score-matched studies have shown similar results, that there was no difference in DFS or OS between LAP and OP.…”
“…Patients who underwent LAP stayed in the hospital after surgery for a shorter duration of time than did those who underwent OP. Several studies have reported similar results regarding short‐term outcomes …”
Section: Discussionsupporting
confidence: 57%
“…Several studies have reported similar results regarding short-term outcomes. [10][11][12][13] Regarding long-term outcomes in the present study, there was no significant difference in DFS or OS between LAP and OP. Some RCTs and propensity score-matched studies have shown similar results, that there was no difference in DFS or OS between LAP and OP.…”
“…The bibliographic search identified 389 potentially relevant studies, and subsequent title and abstract screening eliminated 371 studies that obviously did not fit our inclusion criteria. Out of the remaining 18 studies, 11 studies [4,[8][9][10][11][12][13][14][15][16][17] were finally included in our meta-analysis after a full-text review ( Fig. 1).…”
Section: Results Of Study Search and Quality Assessmentmentioning
confidence: 99%
“…Meanwhile, the incidence of reoperation was comparable between ELC and EOC (fixed effects model; OR 0.95; 95 % CI 0.44, 2.04; P = 0.89). Nine studies [4,8,[10][11][12][13][15][16][17] reported postoperative mortality. Pooled data of these studies revealed that the incidence of postoperative death was comparable between ELC and EOC (fixed effects model; OR 0.54; 95 % CI 0.23, 1.28; P = 0.16).…”
Section: Outcomes Of Morbidity and Mortalitymentioning
confidence: 99%
“…Nine studies [9][10][11][12][13][14][15][16][17] reported the results of LOS. Pooled data showed that the LOS was significantly shorter for ELC than…”
The aim of this study is to compare the perioperative outcomes between laparoscopic and open resections performed for colonic emergencies. A systematic search of the literature identified previously published comparative studies regarding emergent laparoscopic colectomy (ELC) and emergent open colectomy (EOC). Meta-analysis was performed utilizing a pooled odds ratio (OR) for dichotomous variables and a weighted mean difference (WMD) for continuous variables with 95 % confidence intervals (CIs). Eleven studies involving 752 patients were identified. Although operation time was noted to be significantly shorter for EOC, patients post-ELC had significantly lower overall morbidity (OR 0.44; 95 % CI 0.30, 0.66; < 0.0001). Meanwhile, recovery time for post-ELC patients was significantly shorter, as was the length of hospital stay (WMD -2.78 days; 95 % CI -3.17, -2.38; < 0.00001), the time to regular dietary habits (WMD -1.32 days; 95 % CI -2.51, -0.13; = 0.03), and the time to recover bowel movement (WMD -0.55 days; 95 % CI -0.89, -0.22; = 0.001). Reoperation rate and mortality were found to be comparable between ELC and EOC. The R0 resection rate and the number of lymph nodes harvested were also comparable between ELC and EOC for malignant diseases. Whether for benign or malignant disease, ELC is a safe and feasible procedure for colonic emergencies compared with EOC, despite being relatively time-consuming.
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