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

Table 6

Postoperative pain and analgesia.

Study	Parameter/therapy details	ORHM^1	ORHT^2	LRH^3	TLRH^4
Stipa et al. [33]	Pain intensity: visual analogic scale	No-mild; 12/17 (70%)	No-mild; 11/27 (40%)
		Moderate-severe; 5/17 (30%)	Moderate-severe; 17/27 (60%)
Lindgren et al. [34]; ORHM versus ORHT 𝑃<0.05	Average total amount ± SD analgesics given	85±9.8 mg	50±7.9 mg
Brown et al. [35]	Median doses of morphine (range)	94 mg (21–565)	101 mg (59–219)
	Discontinued patient-controlled analgesia (days)	3 (2–7)^5	4 (2–5)
Lohsiriwat et al. [36]; ORHT versus LRH 𝑃=0.25	Time (days) to discontinuation of IV^6 narcotics		1.4±1.0^7	1.0±0.9
Tan et al. [37]; ORH versus LRH 𝑃=0.478	Median time of narcotic usage (days)	ORH^8 2		2
Veenhof et al. [38]			NR^9		NR
Tanis et al. [39]; ORHM versus ORHT 𝑃=0.430	Stop to parenteral analgesia (days): epidural (91%) or patient-controlled (9%) equally distributed between groups	3 (1–6)^5	2 (1–6)

1Open right hemicolectomy median incision.
2Open right hemicolectomy transverse incision.
3LRH laparoscopic assisted right hemicolectomy.
4TLRH totally laparoscopic right hemicolectomy.
5Median (range).
6Intravenous.
7Mean ± 2 standard deviation.
8Open right hemicolectomy.
9Not reported.