Comparison of postoperative complications between intracorporeal and extracorporeal anastomosis in laparoscopic right-sided hemicolectomy: a Meta-analysis
[Objectives] To systematically compare postoperative complications between intracorporeal and extracorporeal anastomosis in laparoscopic right-sided hemicolectomy. [Methods] A literature search was conducted using PubMed, Embase, the Cochrane Library, and the SinoMed database. Eligible studies for t...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | zho |
| Published: |
Editorial Office of Journal of Colorectal & Anal Surgery
2022-10-01
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| Series: | 结直肠肛门外科 |
| Subjects: | |
| Online Access: | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=512&cateName=2022%E5%B9%B4%20%E7%AC%AC28%E5%8D%B7%20%E7%AC%AC5%E6%9C%9F |
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| Summary: | [Objectives] To systematically compare postoperative complications between intracorporeal and extracorporeal anastomosis in laparoscopic right-sided hemicolectomy. [Methods] A literature search was conducted using PubMed, Embase, the Cochrane Library, and the SinoMed database. Eligible studies for the Meta-analysis were randomized controlled trials (RCTs) comparing postoperative complications between intracorporeal and extracorporeal anastomosis in laparoscopic right-sided hemicolectomy published between January 1980 and June 2022. Two independent reviewers conducted screening, selection, data extraction, and risk of bias assessment. Meta-analysis was performed using Stata 12.0. [Results] Six RCTs with a total of 661 patients were included. Compared with extracorporeal anastomosis, intracorporeal anastomosis in laparoscopic right-sided hemicolectomy had a lower rate of wound infection [relative risk (RR)=0.50, 95% confidence interval (CI): 0.26-0.97, P=0.04]. Rates of other complications did not differ significantly between the two groups: anastomotic leakage (RR=0.93, 95%CI: 0.48-1.79, P=0.83), postoperative intestinal obstruction (RR=0.66, 95%CI: 0.30-1.42, P=0.28), postoperative bleeding (RR=1.96, 95%CI: 0.15-25.8, P=0.61), reoperation (RR=0.60, 95%CI: 0.32-1.14, P=0.12), readmission within 30 days of discharge (RR=0.48, 95%CI: 0.21-1.07, P=0.07), and death (RR=0.74, 95%CI: 0.26-2.11, P=0.57). [Conclusion] Compared with extracorporeal anastomosis, intracorporeal anastomosis in laparoscopic right-sided hemicolectomy can lower the incidence of wound infection but has no significant effect on lowering the risks of other complications. These results warrant multicenter clinical trials with large samples to confirm. |
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| ISSN: | 1674-0491 |