title: Transverse skin crease versus vertical midline incision versus laparoscopy for right hemicolectomy: a systematic review--current status of right hemicolectomy.
abstract: OBJECTIVE
  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.
authors.affiliation: Department of Surgical Sciences, "Sapienza" University of Rome, Viale Regina Elena 324, 00185 Rome, Italy.
authors.forename: Alberto
authors.initials: A
authors.lastname: Santoro
authors.affiliation: Department of General and Oncologic Surgery, University of Perugia, St. Maria Hospital, Località Sant'Andrea delle Fratte, Via Gambuli 1, 06156 Perugia, Italy.
authors.forename: Carlo
authors.identifier: 0000-0002-8412-9447
authors.initials: C
authors.lastname: Boselli
authors.affiliation: Department of General and Oncologic Surgery, University of Perugia, St. Maria Hospital, Località Sant'Andrea delle Fratte, Via Gambuli 1, 06156 Perugia, Italy.
authors.forename: Claudio
authors.identifier: 0000-0002-7022-3336
authors.initials: C
authors.lastname: Renzi
authors.affiliation: Department of General Surgery, University of Ferrara, Via Fossato di Mortara 64/A, 44121 Ferrara, Italy.
authors.forename: Francesca
authors.initials: F
authors.lastname: Gubbiotti
authors.affiliation: Department of General and Oncologic Surgery, University of Perugia, St. Maria Hospital, Località Sant'Andrea delle Fratte, Via Gambuli 1, 06156 Perugia, Italy.
authors.forename: Veronica
authors.identifier: 0000-0001-5146-2836
authors.initials: V
authors.lastname: Grassi
authors.affiliation: Department of Surgical Sciences, "Sapienza" University of Rome, Viale Regina Elena 324, 00185 Rome, Italy.
authors.forename: Giorgio
authors.initials: G
authors.lastname: Di Rocco
authors.affiliation: Department of General and Oncologic Surgery, University of Perugia, St. Maria Hospital, Località Sant'Andrea delle Fratte, Via Gambuli 1, 06156 Perugia, Italy.
authors.forename: Roberto
authors.identifier: 0000-0002-2457-0636
authors.initials: R
authors.lastname: Cirocchi
authors.affiliation: Department of Surgical Sciences, "Sapienza" University of Rome, Viale Regina Elena 324, 00185 Rome, Italy.
authors.forename: Adriano
authors.identifier: 0000-0001-9574-4931
authors.initials: A
authors.lastname: Redler
mesh_terms: D003082:Colectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007813:Laparotomy / Q000379:methods*; D008198:Lymph Nodes / Q000473:pathology / Q000601:surgery*; D016239:MEDLINE; D011184:Postoperative Period; D016896:Treatment Outcome