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Single-incision laparoscopic versus traditional multiport laparoscopic colorectal surgery—a cumulative meta-analysis and systematic review

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Abstract

Purpose

The published data on the evaluation of feasibility and safety of single-incision laparoscopic colorectal surgery (SILC) compared with traditional multiport laparoscopic colorectal surgery (MLC) remained controversial. The present cumulative meta-analysis and systematic review were performed to provide a more objective and precise estimate.

Materials and methods

PubMed, the Cochrane Library, and also, manual searches were employed to identify potentially eligible studies which were published before June 7, 2012. The association was assessed by odds ratio (OR) and means with 95 % confidence intervals (CI).

Results

A total of 20 comparative studies were included, with 670 patients underwent SILC and 838 patients underwent MLC. For overall pooled estimates, no evidence of between trial differences was found in overall conversion rate (OR, 1.7; 95 % CI, 0.97 to 3.01), overall complication rate (OR, 0.82; 95 % CI, 0.63 to 1.08), and operative time (mean, −3.59; 95 % CI, −10.95 to 3.77); significantly between trial differences were found in estimated blood loss (mean, −18.61; 95 % CI, −31.33 to −5.90) and post-operative hospital stay (mean, −0.54; 95 % CI, −0.95 to −0.12). The cumulative meta-analysis identified a potentially increased conversion rate of SILC compared with MLC with the increased percentage of malignancies, but no significant differences could be identified in overall complication rate.

Conclusion

This meta-analysis suggested the feasibility and safety of SILC performed by experienced hands, though potentially higher overall conversion rate occurred in malignancies. SILC will benefit the patients much more with its superiority over MLC.

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Authors and Affiliations

  1. Biliary and Vascular Unit, Department of General Surgery, Shengjing Hospital, China Medical University, Shenyang, 110004, People’s Republic of China

    Chao Lv, Shuodong Wu, Yang Su, Ying Fan, Jing Kong & Xiaopeng Yu

  2. Department of Anesthesiology, The First Affiliated Hospital, China Medical University, Shenyang, 110001, People’s Republic of China

    Yuli Wu

  3. Department of Clinical Epidemiology, The First Affiliated Hospital, China Medical University, Shenyang, 110001, People’s Republic of China

    Jingpu Shi

  4. Biliary and Vascular Unit, Department of General Surgery, Shengjing Hospital, China Medical University, Sanhao Street 36#, Shenyang, People’s Republic of China

    Shuodong Wu

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  1. Chao Lv
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Correspondence to Shuodong Wu.

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Lv, C., Wu, S., Wu, Y. et al. Single-incision laparoscopic versus traditional multiport laparoscopic colorectal surgery—a cumulative meta-analysis and systematic review. Int J Colorectal Dis 28, 611–621 (2013). https://doi.org/10.1007/s00384-013-1653-5

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