Comparison of chyle leakage between laparoscopic and open colectomy in patients with colon cancer: a systematic review and meta-analysis
Issued Date
2025-08-01
Resource Type
ISSN
22879714
eISSN
22879722
Scopus ID
2-s2.0-105017029254
Journal Title
Annals of Coloproctology
Volume
41
Issue
4
Start Page
262
End Page
270
Rights Holder(s)
SCOPUS
Bibliographic Citation
Annals of Coloproctology Vol.41 No.4 (2025) , 262-270
Suggested Citation
Thampongsa T., Saengsri S., Wattanapreechanoni P., Supsamutchai C., Wilasrusmee C., Poprom N. Comparison of chyle leakage between laparoscopic and open colectomy in patients with colon cancer: a systematic review and meta-analysis. Annals of Coloproctology Vol.41 No.4 (2025) , 262-270. 270. doi:10.3393/ac.2025.00045.0006 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/112390
Title
Comparison of chyle leakage between laparoscopic and open colectomy in patients with colon cancer: a systematic review and meta-analysis
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Corresponding Author(s)
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Abstract
Purpose: Laparoscopic complete mesocolon excision (LCME) for right colonic cancer improves oncological outcomes. This meta-analysis aimed to compare the rate of chylous leakage between laparoscopic and open right colectomy with CME for right-sided colonic cancers. Methods: A literature search was performed up to February 2022. The primary outcome was the rate of chylous leakage. Secondary outcomes included related surgical and clinical parameters. A meta-analysis was performed to calculate risk ratios. Results: Eleven studies were included. The rate of postoperative chylous leakage was lower in laparoscopic surgery compared to open surgery (risk ratio, 0.63; 95% confidence interval, 0.33–1.20), although this difference was not statistically significant. LCME showed superior outcomes to open CME (OCME) in secondary outcomes, such as reduced blood loss, increased harvested lymph node count, and decreased overall morbidity. Conclusion: There was no significant difference between LCME and OCME regarding the rates of chylous leakage, anastomosis leakage, or operative time. However, LCME demonstrated superiority in blood loss reduction, harvested lymph node number, and overall morbidity in patients undergoing surgery for right colon cancer.