Transumbilical versus periumbilical incision for laparoscopic surgery: A meta-analysis - 03/12/20
, Ka-Wai Tam d, e, f, ⁎, 1 Abstract |
Background |
Whether a transumbilical or periumbilical incision is beneficial for the initial peritoneal access in laparoscopic abdominal surgery has been debated. Our aim is to determine whether a transumbilical or periumbilical incision is a better route for the initial umbilical trocar.
Methods |
PubMed, Embase, and Cochrane Library databases were searched for articles published before March 2020. The meta-analysis calculated the pooled effect size by using a random effects model.
Results |
Five trials involving 783 patients were reviewed. The transumbilical group significantly reduced operation time (mean difference: −7.73; 95% confidence interval: −13.10 to −2.35) when compared to the periumbilical group. The length of hospital stay, mean pain scores on operation day and postoperation day 1 did not differ significantly between the two groups. Moreover, the incidence of surgical site infection, cosmetic satisfaction, and complication rate did not differ significantly between groups.
Conclusion |
A transumbilical incision is better than a periumbilical incision for laparoscopic surgery as it saves operation time. Hence, we suggest transumbilical incisions for the initial peritoneal access in laparoscopic abdominal surgery.
Il testo completo di questo articolo è disponibile in PDF.Highlights |
• | Transumbilical or periumbilical incisions are beneficial in laparoscopic surgery. |
• | Compared with periumbilical group, transumbilical group significantly reduced operation time. |
• | Incidence of surgical site infection, cosmetic satisfaction, and complication rate did not differ. |
• | Transumbilical incision for initial access in laparoscopic surgery is suggested. |
Keywords : Laparoscopic surgery, Abdominal incision, Transumbilical, Periumbilical, Trocar
Mappa
Vol 220 - N° 6
P. 1592-1598 - dicembre 2020 Ritorno al numero
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