SynthesisInternational journal of colorectal disease2015
Laparoscopic right colectomy reduces short-term mortality and morbidity. Results of a systematic review and meta-analysis.
Synthesis in International journal of colorectal disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 5 of them syntheses 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
31 citing papers in PubMed, 5 syntheses or guidelines pooled it, 55 citations in OpenAlex.
- Pooled it
- Intracorporeal vs extracorporeal anastomosis following neoplastic right hemicolectomy resection: a systematic review and meta-analysis of randomized control trials.International journal of colorectal disease · 2021Pooled it
- Laparoscopic versus Open Transverse-Incision Approach for Right Hemicolectomy: A Systematic Review and Meta-Analysis.Medicina (Kaunas, Lithuania) · 2021Pooled it
- Pooled it
- Right hemicolectomy: a network meta-analysis comparing open, laparoscopic-assisted, total laparoscopic, and robotic approach.Surgical endoscopy · 2019Pooled it
- Intracorporeal anastomosis versus extracorporeal anastomosis for laparoscopic right hemicolectomy: short-term and long-term outcomes.Surgical endoscopy · 2026Article
- Open versus laparoscopic right colectomy: does the initial approach impact on management and outcomein anastomotic leakage? A multicenter cohort study.Updates in surgery · 2025Observational
- Elevating surgical standards: The role of intraperitoneal isoperistaltic side-to-side anastomosis in colon cancer surgery.World journal of gastrointestinal oncology · 2025Article
- Minimizing incisional hernia: intracorporeal anastomosis makes the difference after laparoscopic right colectomy.International journal of colorectal disease · 2025Article
- Short- and long-term outcomes of laparoscopic right hemicolectomy with D3 resection for right colon cancer in elderly patients.Langenbeck's archives of surgery · 2024Article
- Laparoscopic assisted colectomy versus laparoscopic complete colectomy: a cost analysis.Updates in surgery · 2024Article
- Intracorporeal anastomosis in minimally invasive right hemicolectomy: a nationwide survey of the Korean Society of Coloproctology.Annals of surgical treatment and research · 2024Article
- Comparing extracorporeal, semi-extracorporeal, and intracorporeal anastomosis in laparoscopic right hemicolectomy: introducing a bridging technique for colorectal surgeons.Annals of surgical treatment and research · 2024Article
- Short-term outcome of intracorporeal ileocolonic anastomosis in patients with visceral obesity.Scientific reports · 2024Article
- Observational
- Laparoscopic Right Colectomy for Cancer: Should We Ligate the Vessel Intracorporeally or Extracorporeally?World journal of surgery · 2023Article
- Early outcomes from the Minimally Invasive Right Colectomy Anastomosis study (MIRCAST).The British journal of surgery · 2023Observational
- Effect of intracorporeal anastomosis on postoperative ileus after laparoscopic right colectomy.Annals of surgical treatment and research · 2023Article
- Inequalities in access to minimally invasive general surgery: a comprehensive nationwide analysis across 20 years.Surgical endoscopy · 2021Article
- 2DWorld journal of gastrointestinal surgery · 2021Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWhile definitive long-term results are not yet available, the global safety and oncologic adequacy of laparoscopic surgery for right colectomy remain controversial. The aim of the study was to evaluate differences in safety of laparoscopic right colectomy, compared with open surgery, with particular attention to cancer patients.
methodsA systematic review from 1991 to 2014 was performed searching the MEDLINE and EMBASE databases (PROSPERO Registration number: CRD42014015256). We included randomised and controlled clinical studies comparing laparoscopic and open resection for rectal cancer. Primary endpoints were 30 days mortality and overall morbidity. Then, a meta-analysis was conducted by a fixed-effect model, performing a sensitivity analysis by a random-effect model. Relative risk (RR) was used as an indicator of treatment effect; a RR less than 1.0 was in favour of laparoscopy. Publication bias was assessed by funnel plot, heterogeneity by the I (2) test and subgroup analysis on oncologic patients.
resultsTwenty-seven studies, representing 3049 patients, met the inclusion criteria; only 2 were randomised for a total of 211 patients. Mortality was observed in 1.2 % of patients in the laparoscopic group and in 3.4 % of patients in the open group. The overall RR was 0.45 (95 % CI 0.21-0.93, p = 0.031). The raw incidence of overall complications was significantly lower in the laparoscopic group (16.8 %) compared to the open group (24.2 %). The overall RR was 0.81 (95 % CI 0.70-0.95, p = 0.007).
conclusionsBased on the evidence of few randomised and mostly controlled series, mortality and morbidity were significantly lower after laparoscopy compared to open surgery.
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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.