Laparoscopic versus open right hemicolectomy: a comparison of short-term outcomes

Background The laparoscopic approach is increasingly becoming the gold standard for colorectal resections. While laparoscopic surgery of the left colon and rectum has been evaluated in many studies, laparoscopic resection of the right colon has not been as widely examined. The aim of this study was...

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Bibliographic Details
Published in:International journal of colorectal disease 2009-11, Vol.24 (11), p.1333-1339
Main Authors: Tan, Wah-Siew, Chew, Min-Hoe, Ooi, Boon-Swee, Ng, Kheng-Hong, Lim, Jit-Fong, Ho, Kok-Sun, Tang, Choong-Leong, Eu, Kong-Weng
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Colectomy - methods
Demography
Diet
Digestive system. Abdomen
Endoscopy
Female
Gastroenterology
Gastroenterology. Liver. Pancreas. Abdomen
Hepatology
Humans
Internal Medicine
Investigative techniques, diagnostic techniques (general aspects)
Laparoscopy - methods
Length of Stay
Male
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
Original Article
Postoperative Care
Postoperative Complications
Proctology
Surgery
Time Factors
Treatment Outcome
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Summary:Background The laparoscopic approach is increasingly becoming the gold standard for colorectal resections. While laparoscopic surgery of the left colon and rectum has been evaluated in many studies, laparoscopic resection of the right colon has not been as widely examined. The aim of this study was to examine the short-term outcomes after laparoscopic right hemicolectomies and to determine if they were superior when compared with those after open resection. Patients and methods Consecutive cases of laparoscopic right hemicolectomies performed between May 2005 and December 2007, in the Department of Colorectal Surgery, Singapore General Hospital, were compared with a matched series of patients who underwent open surgery. Results From a total of 37 laparoscopic cases, 36 patients successfully underwent laparoscopic right hemicolectomies. There was one conversion, giving a conversion rate of 2.7%. These 37 patients were compared with 40 patients who underwent open right hemicolectomies. The laparoscopic arm was characterised by shorter length of incisions (5.7 vs. 11.2 cm, p 
ISSN:0179-1958
1432-1262
DOI:10.1007/s00384-009-0743-x