SynthesisSurgical endoscopy2017
Small bowel obstruction and incisional hernia after laparoscopic and open colorectal surgery: a meta-analysis of comparative trials.
Synthesis in Surgical endoscopy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 4 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
24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 42 citations in OpenAlex.
- Incisional hernia incidence following laparoscopic versus open abdominal surgery: an updated systematic review and meta-analysis of randomized controlled trials.Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled it
- Pooled it
- Incidence of incisional hernia in the specimen extraction site for laparoscopic colorectal surgery: systematic review and meta-analysis.Surgical endoscopy · 2017Pooled it
- Laparoscopic surgery for T4 colon cancer: a systematic review and meta-analysis.Surgical endoscopy · 2017Pooled it
- Risk factors of incisional hernia enlargement after colorectal cancer surgery: a retrospective, single-center study.Surgery today · 2026Article
- Hand-Assisted Laparoscopic Rectal Resection-Experience of a Tertiary Oncology Center.Journal of clinical medicine · 2025Article
- Assessing risk of recurrent small bowel obstruction after non-operative management in patients with history of intra-abdominal surgery: a population-based comprehensive analysis in Taiwan.Surgical endoscopy · 2024Article
- Laparoscopy for emergency abdominal surgery is associated with reduced physical functional decline in older patients: a cohort study.BMC geriatrics · 2024Article
- Evolution of surgical approach to rectal cancer resection: A multinational registry assessment.International journal of colorectal disease · 2024Article
- An empirical comparison of the harmful effects for randomized controlled trials and non-randomized studies of interventions.Frontiers in pharmacology · 2023Article
- Construct validity and responsiveness of the Duke Activity Status Index (DASI) as a measure of recovery after colorectal surgery.Surgical endoscopy · 2022Article
- Incidence and risk factors for umbilical incisional hernia after reduced port colorectal surgery (SIL + 1 additional port)-is an umbilical midline approach really a problem?Langenbeck's archives of surgery · 2022Article
- Periumbilical Transverse Incision for Reducing Incisional Hernia in Laparoscopic Colon Cancer Surgery.World journal of surgery · 2022Article
- Risk of incisional hernia after laparoscopic colorectal surgery: surgeon's worries and challenges.Journal of minimally invasive surgery · 2022Article
- Article
- Preventing incisional ventral hernias: important for patients but ignored by surgical specialities? A critical review.Hernia : the journal of hernias and abdominal wall surgery · 2021Review
- Summary of Oncologic and Functional Outcomes.Clinics in colon and rectal surgery · 2020Review
- Incidence of Incisional Hernia Repair After Laparoscopic Compared to Open Resection of Colonic Cancer: A Nationwide Analysis of 17,717 Patients.World journal of surgery · 2020Article
- Laparoscopic surgery facilitates administration of adjuvant chemotherapy in locally advanced colon cancer: propensity score analyses.Cancer management and research · 2019Article
- Does robotic rectal cancer surgery improve the results of experienced laparoscopic surgeons? An observational single institution study comparing 168 robotic assisted with 184 laparoscopic rectal resections.Surgical endoscopy · 2018Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionRecent studies show contrasting data on the impact of laparoscopy on long-term complications such as the occurrence of small bowel obstruction (SBO) and incisional hernia (IH). The objective of the study was to assess the impact of the laparoscopic approach on the occurrence of SBO and IH after colorectal resection.
methodsTwo trained investigators independently searched MEDLINE, Embase, PubMed, and the Cochrane Central Register of clinical trials for studies comparing laparoscopy to open surgery for mid- to long-term outcomes after colorectal surgery. No language restriction was set. Sensitivity analyses for study design and quality, conversion rate, type of procedure (colon or rectal surgery), and length of follow-up were performed.
resultsEleven RCTs and 14 non-RCT comparative studies for a total of 6540 patients were included in the analysis. Laparoscopy was associated with a significant reduction in the occurrence of SBO (RR 0.57, [95 %CI 0.42-0.76], 16 trials) and IH (RR 0.60, [95 %CI 0.50-0.72], 19 trials). Sensitivity analysis including only RCTs confirmed the reduction in SBO (RR 0.58, [95 %CI 0.39-0.87], 8 trials), while the difference was close to significance for IH (RR 0.76, [95 %CI 0.56-1.03], 7 trials). Sensitivity analysis including only studies with conversion rate lower than 15 % showed a significant protective effect of laparoscopy for both SBO (RR 0.53, [95 %CI 0.37-0.77], 11 trials) and IH (RR 0.58, [95 %CI 0.47-0.72], 12 trials). No significant difference between laparoscopy and open surgery was found when the analysis was limited to studies with conversion rate >15 % (SBO: RR 0.60 [0.32-1.12], IH: RR 0.70 [0.46-1.06]). Length of follow-up did not substantially impact on results.
conclusionLaparoscopic surgery is associated with a significant reduction in both SBO and IH compared to the open approach. A low conversion rate in the laparoscopic group plays a key role for reduction in both SBO and IH.
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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.