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International Journal of Colorectal Disease

Erschienen in:

05.07.2022 | Review

Effect of the transanal drainage tube on preventing anastomotic leakage after laparoscopic surgery for rectal cancer: a systematic review and meta-analysis

verfasst von: 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

Erschienen in: International Journal of Colorectal Disease | Ausgabe 8/2022

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Abstract

Purpose

Anastomotic 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.

Methods

All 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.

Results

A 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.

Conclusions

TDT 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.

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Titel: Effect of the transanal drainage tube on preventing anastomotic leakage after laparoscopic surgery for rectal cancer: a systematic review and meta-analysis
verfasst von: 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
Publikationsdatum: 05.07.2022
Verlag: Springer Berlin Heidelberg
Erschienen in: International Journal of Colorectal Disease / Ausgabe 8/2022
Print ISSN: 0179-1958
Elektronische ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-022-04201-y

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