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Hand-Assisted Laparoscopic Surgery Versus Open Surgery in Patients Needed Total Colectomy: A Meta-analysis

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Abstract

This study is to evaluate intraoperative and postoperative outcomes of hand-assisted laparoscopic colectomy (HALC) and open colectomy in the management of patients needed to removal total colon or colorectum. A systematic literature search with no limits was performed in PubMed and the Cochrane Library. Estimated blood loss, operative time, length of hospital stay, and post-operation complications including ileus, wound infection and leak were extracted. Six researches reporting a total number of 271 patients who underwent HALC or open surgery within restorative proctocolectomy (RPC) or total abdominal colectomy (TAC) were included. There was a significant difference between HALC and open surgery groups in the estimated blood loss (mean difference (MD) = 93.44, 95%CI [51.33, 135.54], p < 0.0001), operative time (MD =  − 41.17, 95%CI [− 54.41, − 27.94], p < 0.00001) and length of hospital stay (MD = 1.56, 95%CI [0.24, 2.88], P = 0.02). In the terms of post-operation complications, the incidence of ileus (OR 1.27, 95% CI [0.55, 2.95], P = 0.57) and wound infection (OR 1.21, 95% CI [0.53, 2.79], P = 0.66) were similar between the two groups. HALC could have more effect and safety over open surgery in patients underwent RPC and TAC.

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Data Availability

The data in this study is not sensitive and could be accessible in the public domain. The data is therefore available and all the data used in the study have been included in the article/Supplementary Material.

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Authors and Affiliations

  1. Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu, 610041, China

    Anqing Lu

  2. West China School of Nursing, West China Hospital, Sichuan University, Chengdu, 610041, China

    Anqing Lu

  3. Colorectal Cancer Center, West China Hospital, Sichuan University, Guo Xue **ang No. 37, Chengdu, 610041, China

    Zechuan ** & Ziqiang Wang

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  1. Anqing Lu
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  2. Zechuan **
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Contributions

Ziqiang Wang contributed to the conception of the study and edit the manuscript;

Zechuan ** contributed significantly to analysis and manuscript preparation;

Anqing Lu performed the data analyses and wrote the manuscript;

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Correspondence to Ziqiang Wang.

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Lu, A., **, Z. & Wang, Z. Hand-Assisted Laparoscopic Surgery Versus Open Surgery in Patients Needed Total Colectomy: A Meta-analysis. Indian J Surg (2024). https://doi.org/10.1007/s12262-024-04038-5

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