Effect of the transanal drainage tube on preventing anastomotic leakage after laparoscopic surgery for rectal cancer: a systematic review and ... View Full Text


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Article Info

DATE

2022-07-05

AUTHORS

Shun-Yu Deng, Jia-Di Xing, Mao-Xing Liu, Kai Xu, Fei Tan, Zhen-Dan Yao, Nan Zhang, Hong Yang, Cheng-Hai Zhang, Ming Cui, Xiang-Qian Su

ABSTRACT

PurposeAnastomotic leakage (AL) is a common postoperative complication of rectal cancer, and transanal drainage tube (TDT) efficacy is still contentious. This study aimed to evaluate the TDT effect on AL prevention.MethodsAll relevant papers were searched by using a predefined search strategy (two randomized controlled trials (RCTs), one prospective study, and four retrospective studies). Meta-analysis was conducted to estimate AL and re-operation pooled rates.ResultsA total of 7 studies (1556 patients) were included: No significant statistic difference was found between two groups on AL rate (odds ratio (OR) 0.61, P = 0.11) and re-operation rate (OR 0.52, P = 0.10). For subgroup analysis, significant statistic difference was found between two groups on AL rate (OR 0.29, P = 0.002) and re-operation rate (OR 0.15, P = 0.04) in patients without neoadjuvant therapy. As for patients without diverting stoma, the AL rate (OR 0.35, P = 0.002) was significantly lower than that in patients without TDT.ConclusionsTDT may reduce AL morbidity and re-operation rate for patients without high risk of AL, but may be useless for those in high-risk situations. More... »

PAGES

1739-1750

References to SciGraph publications

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    http://scigraph.springernature.com/pub.10.1007/s00384-022-04201-y

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    http://dx.doi.org/10.1007/s00384-022-04201-y

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    https://app.dimensions.ai/details/publication/pub.1149241160

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/35789424


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