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BioMed Research International
Volume 2014 (2014), Article ID 643685, 16 pages
Review Article

Transverse Skin Crease versus Vertical Midline Incision versus Laparoscopy for Right Hemicolectomy: A Systematic Review—Current Status of Right Hemicolectomy

1Department of Surgical Sciences, “Sapienza” University of Rome, Viale Regina Elena 324, 00185 Rome, Italy
2Department of General and Oncologic Surgery, University of Perugia, St. Maria Hospital, Località Sant’Andrea delle Fratte, Via Gambuli 1, 06156 Perugia, Italy
3Department of General Surgery, University of Ferrara, Via Fossato di Mortara 64/A, 44121 Ferrara, Italy

Received 15 April 2013; Revised 19 November 2013; Accepted 20 November 2013; Published 30 January 2014

Academic Editor: Giuseppe Nigri

Copyright © 2014 Alberto Santoro et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Purpose. The right hemicolectomy may be conducted through laparoscopic or laparotomic surgery, transverse or midline incisions. The transverse laparotomy offers some advantages compared to the midline laparotomy and laparoscopy. A literature review was performed to evaluate the possible advantages of the transverse incision versus midline incision or laparoscopic right hemicolectomy. Methods. A systematic research was performed in Medline, Embase, Cochrane Central Register of Controlled Trials, CINAHL, BioMed Central, and the Science Citation Index. Results. Laparotomic right hemicolectomy with transverse incision is preferable to laparotomic hemicolectomy with midline incision. A transverse incision offers a lessened postoperative pain following physical activity, a lessened need to administer analgesic therapy during the post-operative time, better aesthetic results, and a better post-operative pulmonary function. Open surgery with transverse or midline incision ensured a shorter operative time, lower costs and a greater length of the incision compared to the laparoscopic. However, there are no differences in the oncological outcomes. Conclusions. It was not possible to identify significant differences between the open right hemicolectomy with transverse incision versus the open right hemicolectomy with midline incision or laparoscopic hemicolectomy.