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Single-Incision Laparoscopic Right Hemi-Colectomy: a Systematic Review
K G Apostolou1, S V Orfanos1, A E Papalois2
11st Department of Surgery, General Hospital of Athens Laiko, Athens School of Medicine, University of Athens, Agiou Thoma 17, 11527 Athens, Greece.
The Indian Journal of Surgery
|December 25, 2015
Summary
Single-incision laparoscopic right hemi-colectomy (SIL-RH) is a safe procedure for right-sided colon diseases. It demonstrates low morbidity and mortality, comparable to multiport laparoscopic right hemi-colectomy (ML-RH).
Area of Science:
- Colorectal Surgery
- Minimally Invasive Surgery
- Surgical Oncology
Background:
- Laparoscopic colon surgery has advanced, leading to less invasive techniques like single-incision laparoscopic right hemi-colectomy (SIL-RH).
- Evaluating the safety and outcomes of SIL-RH is crucial for its adoption in treating right-sided colon diseases.
Purpose of the Study:
- To assess the safety and clinical outcomes of single-incision laparoscopic right hemi-colectomy (SIL-RH).
- To compare SIL-RH outcomes with traditional multiport laparoscopic right hemi-colectomy (ML-RH).
Main Methods:
- A systematic review of PubMed-indexed studies on SIL-RH from 2000 to 2014.
- Analysis of data from 21 studies, encompassing 684 patients, focusing on morbidity, mortality, and postoperative recovery.
Main Results:
- Low overall morbidity (15%) and mortality (0.75%) were reported for SIL-RH.
- Mean postoperative hospital stay was 5.5 days, with bowel motility return at 2.8 days.
- All resection margins were tumor-free, with a mean of 19.2 lymph nodes harvested.
Conclusions:
- SIL-RH is a safe and effective alternative to multiport laparoscopic right hemi-colectomy (ML-RH).
- It offers comparable outcomes regarding safety, gastrointestinal recovery, hospital stay, and oncological results.
