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Surgical Trunk Oriented Laparoscopic Right Hemicolectomy (ST-LRH) for Right-Sided Colon Cancer
Published on: July 25, 2025
746
Hand-assisted laparoscopic surgery versus laparoscopic right colectomy: a meta-analysis
Guosen Wang1, Jianping Zhou2, Weiwei Sheng1
1Department of Gastrointestinal Surgery & Hernia and Abdominal Wall Surgery, The First Hospital, China Medical University, Shenyang, Liaoning Province, China.
World Journal of Surgical Oncology
|December 6, 2017
Summary
Hand-assisted laparoscopic surgery (HALS) is a viable alternative to laparoscopic right colectomy (LRC). Both surgical methods demonstrate comparable clinical efficacy, postoperative recovery, and oncologic outcomes.
Area of Science:
- Colorectal surgery
- Minimally invasive surgical techniques
Background:
- Laparoscopic right colectomy (LRC) is a standard minimally invasive procedure.
- Hand-assisted laparoscopic surgery (HALS) offers a hybrid approach combining open and laparoscopic techniques.
Purpose of the Study:
- To systematically compare the clinical efficacy of HALS and LRC.
- To evaluate intraoperative, postoperative, morbidity, and oncologic outcomes for both procedures.
Main Methods:
- Systematic review and meta-analysis of randomized controlled trials (RCTs) and non-RCTs.
- Searched PubMed, Embase, and Cochrane Library databases.
- Analyzed outcomes including conversion rates, hospital stay, reoperation, morbidity, and oncologic results.
Main Results:
- Five studies with 438 patients (202 HALS, 236 LRC) were included.
- No significant differences were found in conversion rates, hospital stay, reoperation, morbidity, or oncologic outcomes.
- HALS showed a non-clinically significant shorter operative time and a longer incision length without impacting recovery.
Conclusions:
- HALS is a safe and effective alternative to LRC.
- HALS combines benefits of open and laparoscopic surgery for right colectomy.
