Purpose.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.Asystematic research was performed inMedline,Embase,CochraneCentral Register ofControlledTrials,
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.