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Laparoscopic Versus Open Transverse Colectomy: A Systematic Review and Meta-Analysis

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Abstract

Objectives

The survival benefits, oncological adequacy, effectiveness, and safety of laparoscopic transverse colectomy (LTC) were compared with that of open transverse colectomy (OTC) using a meta-analysis.

Methods

EMBASE, Medline, Cochrane library, and Google scholar databases were searched for the last 20 years. Meta-analyses were performed using both fixed-effects and random-effects models. Five-year disease-free survival and overall survival were estimated using the inverse variance hazard ratio method.

Results

No survival benefits were detected between the two LTC and OTC cohorts. OTC showed shorter operative time by 38 min compared to LTC [mean difference (MD) = 38(15.23–60.77), p = 0.001]. However, LTC was associated with earlier postoperative recovery. The time to flatus and time to oral intake for LTC were MD = −1.12(−1.68 to −0.55, p = 0.001) and MD = −1.57(−2.38 to −0.76, p = 0.001), respectively. In addition, LTC was associated with a shorter hospital stay by 4.5 days [MD = −4.64(−7.52 to −1.75), p = 0.002].

Conclusions

Compared to OTC, LTC provides similar survival benefits, earlier postoperative recovery, and shorter hospital stay by 4.5 days.

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Fig. 1

(Reproduced with permission from Mohe et al. [23])

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References

  1. Veldkamp R, Kuhry E, Hop WC et al (2005) Colon cancer laparoscopic or open resection study group (COLOR). Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomised trial. Lancet Oncol 6:477–484

    Article  PubMed  Google Scholar 

  2. Guillou PJ, Quirke P, Thorpe H et al (2005) CLASSIC trial group. Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer. CMRC CLASSIC trial): multicentre, randomised controlled trial. Lancet 365:1718–1726

    Article  PubMed  Google Scholar 

  3. Braga M, Vignali A, Zuliani W et al (2005) Laparoscopic versus open colorectal surgery: cost-benefit analysis in a single-center randomised trial. Ann Surg 242:890–895

    Article  PubMed  PubMed Central  Google Scholar 

  4. Morikawa E, Yasutomi M, Shindou K et al (1994) Distribution of metastatic lymph nodes in colorectal cancer by the modified clearing method. Dis Colon Rectum 37:219–223

    Article  PubMed  CAS  Google Scholar 

  5. Bertelsen CA, Neuenschwander AV, Jansen JE et al (2015) Danish colorectal cancer group. Disease-free survival after complete mesocolic excision with conventional colon cancer surgery: a retrospective, population-based study. Lancet Oncol 16:161–168

    Article  PubMed  Google Scholar 

  6. Stelzner S, Hohenberger W, Weber K et al (2016) Anatomy of the transverse colon revisited with respect to complete mesocolic excision and possible pathways of aberrant lymphatic tumour spread. Int J Colorectal Dis 31:377–384

    Article  PubMed  Google Scholar 

  7. Wells GA, Shea B, O’Connell D, et al. The Newcastle-Ottawa scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. http://www.ohri.ca/programs/clinical_epidemiology/oxford.asp

  8. Higgins JPT, Greens S (2005) Cochrane handbook for systematic reviews of interventions. Willey, Chichester (The Cochrane library issue 4)

    Google Scholar 

  9. Higgins JP, Thompson SG, Deeks JJ, Altman DG (2003) Measuring inconsistency in meta-analyses. BMJ 327:557–560

    Article  PubMed  PubMed Central  Google Scholar 

  10. Hozo SP, Diulbegovic B, Hozo I (2005) Estimating the mean and variance from the median, range, and the size of a sample. BMC Med Res Methodol 5:13

    Article  PubMed  PubMed Central  Google Scholar 

  11. Parmar MK, Torri V, Stewart L (1998) Extracting summary statistics to perform meta-analyses of the published literature for survival endpoints. Stat Med 17:2815–2834

    Article  PubMed  CAS  Google Scholar 

  12. Harbord RM, Harris RJ, Sterne JA (2009) Updated tests for small-study effects in meta-analyses. Stata J 9:197–210

    Google Scholar 

  13. Kim HJ, Lee IK, Lee YS et al (2009) A comparative study on the short term clinicopathologic outcomes of laparoscopic surgery versus conventional open surgery for transverse colon cancer. Surg Endosc 23:1812–1817

    Article  PubMed  CAS  Google Scholar 

  14. Akiyoshi T, Kuroyanagi H, Fujimoto Y et al (2010) Short-term outcomes of laparoscopic colectomy for transverse colon cancer. J Gastrointest Surg 14:818–823

    Article  PubMed  Google Scholar 

  15. Zmora O, Bar-Dayan A, Khaikin M et al (2010) Laparoscopic colectomy for transverse colon carcinoma. Tech Coloproctol 14:25–30

    Article  PubMed  CAS  Google Scholar 

  16. Yamamoto M, Okuda J, Tanaka K et al (2012) Clinical outcomes of laparoscopic surgery for advanced transverse and descending colon cancer: a single-center experience. Surg Endosc 26:1566–1572

    Article  PubMed  Google Scholar 

  17. Fernandez-Cebrian JM, Gil Yonte P, Jimenez-Toscano M et al (2013) Laparoscopic colectomy for transverse colon carcinoma: a surgical challenge but oncologically feasible. Colorectal Dis 15:e79–e83

    Article  PubMed  CAS  Google Scholar 

  18. Kim MK, Won DY, Lee JK et al (2015) Laparoscopic surgery for transverse colon cancer: short- and long-term outcomes in comparison with conventional open surgery. J Laparoendosc Surg Tech A 25:982–989

    Article  Google Scholar 

  19. Mistrangelo M, Allaix ME, Cassoni P et al (2015) laparoscopic versus open resection for transverse colon cancer. Surg Endosc 29:2196–2202

    Article  PubMed  Google Scholar 

  20. Zeng WG, Liu MJ, Zhou ZX et al (2015) Outcome of laparoscopic versus open resection for transverse colon cancer. J Gastrointest Surg 19:1869–1874

    Article  PubMed  Google Scholar 

  21. Ichihara T, Takada M, Fukumoto S, Kuroda Y (2004) Lymphadenectomy along the middle colic artery in laparoscopic resection of the transverse colon. Hepatogastroenterology 51:454–456

    PubMed  Google Scholar 

  22. Kuhry E, Schwenk WF, Gaupset R, Romild U, Bonjer HJ (2008) Long-term results of laparoscopic colorectal cancer resection. Cochrane Database Syst Rev 16(2):CD003432

    Google Scholar 

  23. Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 6(6):e1000097. https://doi.org/10.1371/journal.pmed1000097

    Article  PubMed  PubMed Central  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of General and Colorectal Surgery, Northern Lincolnshire and Goole, Diana, Princess of Wales Hospital, Scartho Road, Grimsby, DN33 2BA, UK

    Paschalis Gavriilidis

  2. Department of Interventional Radiology, School of Medicine, Patras University Hospital, 26504, Rion, Patras, Greece

    Konstantinos Katsanos

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  1. Paschalis Gavriilidis
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  2. Konstantinos Katsanos
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Correspondence to Paschalis Gavriilidis.

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Gavriilidis, P., Katsanos, K. Laparoscopic Versus Open Transverse Colectomy: A Systematic Review and Meta-Analysis. World J Surg 42, 3008–3014 (2018). https://doi.org/10.1007/s00268-018-4570-5

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  • DOI: https://doi.org/10.1007/s00268-018-4570-5

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