Single incision laparoscopic right colectomy: a systematic review and meta-analysis

Area of Science:

• Colorectal Surgery
• Minimally Invasive Procedures
• Surgical Outcomes Research

Background:

• Laparoscopic surgery offers advantages over open procedures.
• Single incision laparoscopic surgery (SILS) is an evolving minimally invasive technique.
• Comparing SILS right hemicolectomy with standard multiport laparoscopic right hemicolectomy is crucial for clinical practice.

Purpose of the Study:

• To conduct a meta-analysis comparing single incision laparoscopic right hemicolectomy (SILRH) with standard multiport laparoscopic right hemicolectomy (SMLRH).
• To evaluate primary and secondary outcomes between the two surgical approaches.

Main Methods:

• Systematic search of comparative studies (randomized and non-randomized).
• Data analysis following Cochrane Collaboration guidelines.
• Meta-analysis performed where data permitted.

Main Results:

• Nine comparative studies with 241 patients were analyzed; none were randomized.
• No significant differences were found in mortality, morbidity, cancer-specific parameters, operation time, blood loss, ileus, hospital stay, or conversion rates.
• Pain and cosmetic data were not analyzed due to insufficient information.

Conclusions:

• Single incision laparoscopic right hemicolectomy is comparable to standard multiport laparoscopic right hemicolectomy regarding key outcomes.
• Current evidence supports the use of SILRH.
• A prospective randomized study is recommended to further validate these findings.