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

Table 8

Time to first bowel movement (Bowel), time to resumption of normal diet (Diet), and time to defecation (Def) (days).

Study	Outcomes (days) (𝑝)	ORHM^1	ORHT^2	LRH^3	TLRH^4
Stipa et al. [33]	Bowel	NR^5	NR
	Diet	NR	NR
	Def	≤4: 13 (46%)^6; >4: 15 (54%)	≤4: 9 (53%); >4: 8 (47%)
Lindgren et al. [34]	Bowel	18 (12–24)^7	18 (12–13)
	Diet	4.3±0.5^8	3.5±0.3
	Def	NR	NR
Brown et al. [35]	Bowel	11 (10–19)^7	10 (7–15)
	Diet	Oral fluids intake; 3 (1–9)^9	2 (1–9)
		Solid diet; 4 (2–10)^9	4 (2–10)
	Def	7 (3–16)^9	7 (4–14)
Lohsiriwat et al. [36]	Bowel		10.3^9	7.7
	Diet (0.39)		4.3±1.1^10	3.9±1.0
	Def (0.25)		3.7±1.8^10		3.3±0.9
Tan et al. [37]	Bowel (0.23)	ORH^11: 11.2 (6–12)^7		5.6 (3–10)
	Diet (0.33)	ORH: 2 days^9		2 days
	Def	NR		NR
Veenhof et al. [38]	Bowel		NR		NR
	Diet		NR		NR
	Def		NR		NR
Tanis et al. [39]	Bowel	NR	NR	NR
	Diet ORHM versus LRH (0.62)	3 (1–9)^9	3 (1–10)	3 (1–17)
	Def	NR	NR	NR

1Open right hemicolectomy median incision.
2Open right hemicolectomy transverse incision.
3LRH laparoscopic-assisted right hemicolectomy.
4TLRH totally laparoscopic right hemicolectomy.
5Not reported.
6Days: 𝑛 patients (%).
7Mean (range).
8Mean ± SEM.
9Median (range).
10Mean ± 2 SD.
11Open right hemicolectomy.