Short-Term Outcomes of Single-Incision Versus Conventional Laparoscopic Surgery for Colorectal Diseases: Meta-Analysis of Randomized and Prospective Evidence

Li, Huijuan; Huang, Lei; Li, Tuanjie; Su, Jing; Peng, Long; Liu, Wei

doi:10.1007/s11605-017-3520-0

Cited by 19 publications

(14 citation statements)

References 48 publications

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“…Several published meta-analyses evaluating SLIS versus CLS have shown that short-term clinical and oncological outcomes of SILS are better than that of CLS [ 4 ]. Li et al had very fully confirmed that SILS had less blood loss, shorter incision length, shorter and hospital stay but longer operative time for colorectal disease [ 5 ]. However, laparoscopic sigmoid and rectal surgery based on these two techniques has rarely been studied by meta-analysis.…”

Section: Introductionmentioning

confidence: 99%

Systematic review of single-incision versus conventional multiport laparoscopic surgery for sigmoid colon and rectal cancer

Liu

Shi

et al. 2018

World J Surg Onc

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ObjectivesTo explore whether single-incision laparoscopic surgery (SILS) has the better short-term clinical and pathological outcomes than conventional multiport laparoscopic surgery (CLS) for sigmoid colon and rectal cancer.MethodsA literature investigation of MEDLINE, PubMed, Ovid, Embase, Cochrane Library, Web of Science, Chinese National Knowledge Infrastructure (CNKI), Chinese Biological Medicine (CBM), and Wanfang databases for relevant researches was performed. Fixed effects and random effects models were used to calculate the corresponding outcomes. Standardized mean difference and risk ratio were calculated for continuous and dichotomous variables separately.ResultsNine clinical controlled trials were composed of two randomized clinical trials and seven non-randomized clinical trials with a total of 829 patients. Two hundred ninety-nine (36.1%) patients underwent SILS, and 530 (63.9%) patients underwent CLS. The meta-analysis showed that SILS had more lymph node resection (SMD − 0.25, 95% CI − 0.50 to − 0.002) and less defecation time (SMD − 0.46, 95% CI − 0.75 to − 0.17), exhaust time (SMD − 0.46, 95% CI − 0.75 to − 0.18), and hospital stay (SMD − 0.30, 95% CI − 0.45 to − 0.15 than CLS. SILS was also accompanied with shorter incision length (SMD − 2.46, 95% CI − 4.02 to − 0.90), less pain score (SMD − 0.56, 95% CI − 0.91 to − 0.21), and lower complication rate (RR 0.66, 95% CI 0.47 to 0.91). Blood loss, operative time, distal margin, conversion rate, anastomotic fistula, readmission, local recurrence, and distant metastasis showed no statistical differences in two groups. In all subgroup analysis, SILS also had advantages of incision length, operative time, defecation time, exhaust time, and hospitalization time than CLS.ConclusionSILS could be a more safe and reliable surgical technique than CLS for sigmoid colon and rectal cancer. However, further high-quality studies between these two techniques need to be further developed.

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Section: Introductionmentioning

confidence: 99%

Systematic review of single-incision versus conventional multiport laparoscopic surgery for sigmoid colon and rectal cancer

Liu

Shi

et al. 2018

World J Surg Onc

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“…Some meta-analyses also revealed that SILS-colectomy was associated with shorter hospital stay compared to conventional laparoscopic colectomy. [1112] In addition, the learning curve revealed a dramatic shortening in operating time as experiences with RPLWP grew; the mean operating time for the last five cases was almost similar to CLWP. These results suggest that RPLWP is an effective, safe, minimally invasive procedural alternative to CLWP with no disadvantage for patients when the well-trained surgeon performs it.…”

Section: Discussionmentioning

confidence: 99%

Retrospective case-matched study between reduced port laparoscopic rectopexy and conventional laparoscopic rectopexy for rectal prolapse

Umemura

Sakai²,

Fujiwara³

et al. 2019

J Min Access Surg

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“…Laparoscopic gastrectomy (LG) has such potential benefits as reducing post-operative complications and accelerating healing. [15] Group ASA: American Society of Anesthesiologists.…”

Section: Discussionmentioning

confidence: 99%

Post-Operative Outcomes of Open and Laparoscopic Gastrectomy for Gastric Cancer: A Single-Center Experience

Çakabay¹

2020

Laparosc Endosc Surg Sci

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Introduction: Laparoscopy-assisted distal gastrectomy (LADG) has rapidly been gaining popularity. However, there is only limited evidence regarding its oncological safety. The aim of this study is to identify the effects of laparoscopy on post-operative complications and on the total number of excised and metastatic lymph nodes in cases with + D2 lymph node dissection due to gastric cancer.Materials and Methods: 40 consecutive patients, who underwent gastrectomy and routine D2 lymph node dissection in our clinic between March 2019 and March 2020, were included in the study. The patients were divided into two groups as per the technique applied; open surgery (Group 1) and laparoscopic surgery (Group 2). Demographic characteristics, intra-operative time, need for blood transfusion, post-operative complications, and histopathological features were compared between the groups. Results:The results of the study revealed that Group 1 had longer hospital stay periods (p=0.03) but other clinical features like intra-operative and post-operative complication rates were similar in both groups. Pathology results of the groups also showed no statistically significant difference in terms of the number of excised lymph nodes, the number of metastatic lymph nodes, and the ratio of metastatic lymph nodes to excisedlymph nodes. Conclusion:Laparoscopic surgery can be performed safely and may be recommended as a possible alternative to open surgery. The study emphasized a faster post-operative recovery as the main benefit of laparoscopic gastrectomy.

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Short-Term Outcomes of Single-Incision Versus Conventional Laparoscopic Surgery for Colorectal Diseases: Meta-Analysis of Randomized and Prospective Evidence

Abstract: The results based on randomized and prospective evidence provide convincing support for the clinical similarity that SILS is basically as applicable, effective, and safe as CLS when dealing with colorectal lesions, but not for superiority.

Cited by 19 publications

References 48 publications

Systematic review of single-incision versus conventional multiport laparoscopic surgery for sigmoid colon and rectal cancer

Systematic review of single-incision versus conventional multiport laparoscopic surgery for sigmoid colon and rectal cancer

Retrospective case-matched study between reduced port laparoscopic rectopexy and conventional laparoscopic rectopexy for rectal prolapse

Post-Operative Outcomes of Open and Laparoscopic Gastrectomy for Gastric Cancer: A Single-Center Experience

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