Published online Dec 28, 2020. doi: 10.13105/wjma.v8.i6.472
Peer-review started: October 23, 2020
First decision: November 20, 2020
Revised: November 29, 2020
Accepted: December 10, 2020
Article in press: December 10, 2020
Published online: December 28, 2020
Hand-assisted laparoscopic gastrectomy (HALG) is a popular operation in China, but some surgeons do not accept it as a minimal-access technique.
If the safety and practicability of HALG can be confirmed by comparing with laparoscopic-assisted gastrectomy (LAG), HALG should be used as a minimal-access technique.
This research aimed to assess the safety and practicability of HALG by comparing the short-term outcomes of HALG and LAG.
The electronic databases of EMBASE, PubMed, China National Knowledge Infrastructure, and Cochrane Library were thoroughly searched, and only randomized controlled trials (RCTs) comparing HALG and LAG were included.
This meta-analysis included five RCTs with 600 cases. Compared with LAG, HALG reduced surgery time, hospital duration, and overall postsurgical complications, and increased the number of retrieved lymphatic nodes and incision length.
HALG is simpler and safer technique than LAG. HALG should be used as a minimal-access technique, especially in technologically undeveloped areas.
It is important to evaluate the long-term survival of hand-assisted laparoscopic gastrectomy in the future.