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Single-incision laparoscopic right hemicolectomy (SILS) has been promoted in clinic since 2008, but a systematic review of comparing SILS and traditional laparoscopic right hemicolectomy (TLS) with long-term follow-up is rare. Here, in this study, comparison of SILS and TLS with long-term follow-up was evaluated by a meta-analysis method.All studies about SILS and TLS for right hemicolectomy from 2010 to 2018 were searched from databases including Medline, Embase, Cochrane Library, and Wanfang. Operation index, recovery, and midterm follow-up data were evaluated by fixed-effects models, random-effects models, and Begg test.We collected 22 studies with 2218 patients. SILS groups contained 1038 (46.7%) patients, and 1180 (53.3%) patients were observed in the TLS group. Patients’ baseline data were similar in the 2 groups. Compared with TLS, SILS had shorter operation duration [standardized mean difference (SMD): −0.35, 95% confidence interval (CI): −0.61 to −0.08, P<0.001, χ2=49.40], shorter hospitalization time (SMD: −0.27, 95% CI: −0.37 to −0.16, P<0.001, χ2=9.17), slightly less blood loss (SMD: −0.23, 95% CI: −0.36 to −0.10; P<0.001; χ2=5.36), and smaller incision length (SMD: −2.19, 95% CI: −3.66 to −0.71, P<0.001; χ2=316.1). No statistical differences were observed in other figures.SILS is more convenient and has better efficacy than TLS and could provide a promising surgical approach for right colon diseases.