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

摘要

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 minutes compared to LTC (mean difference [MD] = 38[15.23-60.77], P = 0.001). However, LTC was associated with earlier postoperative recovery.