SynthesisWorld journal of surgery2013
Medial versus lateral approach in laparoscopic colorectal resection: a systematic review and meta-analysis.
Synthesis in World journal of surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Meta-analysis of medial-to-lateral versus lateral-to-medial colorectal mobilisation during laparoscopic colorectal surgery.International journal of colorectal disease · 2019Pooled it
- Revisiting the lateral-to-medial approach in robotic surgery for left-sided colorectal cancer.Surgery today · 2026Article
- Inferior versus medial approach in laparoscopic and robotic surgery with complete mesocolic excision for right-sided colon cancer: propensity score-matched analysis.Techniques in coloproctology · 2025Article
- Innovative pancreas-guided technique for splenic flexure mobilization in laparoscopic left hemicolectomy.Surgical endoscopy · 2024Article
- Article
- International survey among surgeons on laparoscopic right hemicolectomy: the gap between guidelines and reality.Surgical endoscopy · 2022Article
- Modified complete mesocolic excision with central vascular ligation by the squeezing approach in laparoscopic right colectomy.Langenbeck's archives of surgery · 2022Article
- Tunnel versus medial approach in laparoscopic radical right hemicolectomy for right colon cancer: a retrospective cohort study.BMC surgery · 2022Article
- Laparoscopic Radical Resection versus Routine Surgery for Colorectal Cancer.Computational and mathematical methods in medicine · 2022Article
- Securing the surgical field for mobilization of right-sided colon cancer using the duodenum-first multidirectional approach in laparoscopic surgery.Techniques in coloproctology · 2021Article
- Current status and trend of laparoscopic right hemicolectomy for colon cancer.Annals of gastroenterological surgery · 2020Review
- A cross sectional study to investigate internal hernia post left-sided colectomy preserving superior rectal artery.Annals of medicine and surgery (2012) · 2019Article
- Impact of medial-to-lateral vs lateral-to-medial approach on short-term and cancer-related outcomes in laparoscopic colorectal surgery: A retrospective cohort study.Annals of medicine and surgery (2012) · 2018Article
- Laparoscopic Colorectal Surgery for Cancer: What Is the Role of Complete Mesocolic Excision and Splenic Flexure Mobilization?The Indian journal of surgery · 2017Article
- Complete mesocolic excision in right hemicolectomy: comparison between hand-assisted laparoscopic and open approaches.Annals of surgical treatment and research · 2017Article
- Clinical applications of indocyanine green (ICG) enhanced fluorescence in laparoscopic surgery.Surgical endoscopy · 2015Article
- [Intraoperative complications of the lower gastrointestinal tract : Prevention, recognition and therapy].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2015Review
- Techniques in total mesorectal excision surgery.Clinics in colon and rectal surgery · 2015Review
- Article
- The rationale behind complete mesocolic excision (CME) and a central vascular ligation for colon cancer in open and laparoscopic surgery : proceedings of a consensus conference.International journal of colorectal disease · 2014Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of this study was to investigate the safety and efficacy of the medial approach (MA) and the lateral approach (LA) in the treatment of colorectal disease.
methodsStudies published since 1994 that compared MA versus LA in laparoscopic colorectal resection were collected. Data on conversion rate, operative time, blood loss, number of harvested lymph nodes, hospital stay, complications, mortality, rate of recurrence, and hospitalization costs for MA and LA were meta-analyzed using fixed-effect and random-effect models.
resultsFive cohort studies (2 randomized controlled trials and 3 retrospective studies) that included 881 patients were studied. Of these patients, 475 and 582 had undergone laparoscopic colorectal resection via MA and LA, respectively. There were significant reductions in conversion rate and operative time and possible reductions in blood loss and hospitalization costs for MA compared to LA; however, there were fewer harvested lymph nodes for MA compared with LA, which remains to be further studied. Other outcome variables such as postoperative complications, postoperative immune function, mortality, and rate of recurrence were not found to be statistically significant for either group. Sensitivity analysis on the pooled data from randomized controlled trials showed that the conversion rates were not significantly different between MA and LA.
conclusionsCompared with the lateral approach, the medial approach has the advantages of shorter operative time and possibly lower conversion rate; it also can be as safe as the lateral approach. Whether the MA has less blood loss and lower hospitalization costs remains to be confirmed, and its oncological safety and long-term prognosis are not clear. Due to insufficient data from a limited number of studies, inadequate assessment of the results may arise.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.