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International Journal of Colorectal Disease

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01-01-2013 | Original Article

Single-incision laparoscopic colectomy versus conventional multiport laparoscopic colectomy: a meta-analysis of comparative studies

Authors: Timothy X. Yang, Terence C. Chua

Published in: International Journal of Colorectal Disease | Issue 1/2013

Abstract

Objective

This study aimed to compare single-incision laparoscopic colectomy (SILC) to conventional multiport laparoscopic colectomy (MLC).

Background

Single-incision laparoscopic surgery (SILS) is a minimally invasive technique being recently applied to colorectal surgery. A number of studies comparing SILC to conventional MLC have recently been published.

Methods

A literature search of PubMed and MEDLINE databases for studies comparing SILC to conventional MLC was conducted. The primary outcome measures for meta-analysis were postoperative complications, length of stay, and operative time. Secondary outcome measures were incision length, estimated blood loss, and number of lymph nodes harvested.

Results

Fifteen studies comparing 467 patients undergoing SILC to 539 patients undergoing conventional MLC were reviewed and the data pooled for analysis. Patients undergoing SILC had a shorter length of stay (pooled weighted mean difference (WMD) = −0.68; 95 % CI = −1.20 to −0.16; p = 0.0099), shorter incision length (pooled WMD = −1.37; 95 % CI = −2.74 to 0.000199; p = 0.05), less estimated blood loss (pooled WMD = −20.25; 95 % CI = −39.25 to −1.24; p = 0.037), and more lymph nodes harvested (pooled WMD = 1.75; 95 % CI = 0.12 to 3.38; p = 0.035), while there was no significant difference in the number of postoperative complications (pooled odds ratio = 0.83; 95 % CI = 0.57 to 1.20; p = 0.33) or operative time (pooled WMD = 5.06; 95 % CI = −2.91 to 13.03; p = 0.21).

Conclusion

SILC appears to have comparable results to conventional MLC in the hands of experienced surgeons. Prospective randomized trials are necessary to define the relative benefits of one procedure over the other.

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Title: Single-incision laparoscopic colectomy versus conventional multiport laparoscopic colectomy: a meta-analysis of comparative studies
Authors: Timothy X. Yang
Terence C. Chua
Publication date: 01-01-2013
Publisher: Springer-Verlag
Published in: International Journal of Colorectal Disease / Issue 1/2013
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-012-1537-0

At a glance: The STEP trials

Springer Medicine

Single-incision laparoscopic colectomy versus conventional multiport laparoscopic colectomy: a meta-analysis of comparative studies

Abstract

Objective

Background

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Objective

Background

Methods

Results

Conclusion

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