Is the laparoscopic approach for rectal cancer superior to open surgery? A systematic review and meta-analysis on short-term surgical outcomes

Wideochirurgia i inne techniki mało inwazyjne = Videosurgery and other miniinvasive techniques
Piotr MałczakMichał Pędziwiatr

Abstract

Over the past years the incidence of colorectal cancers has increased worldwide. Currently it is the most common gastrointestinal malignancy worldwide. The laparoscopic approach has become the gold standard for surgical treatment. However, a recently published meta-analysis showed no difference in short- and long-term oncological outcomes of laparoscopy for treating rectal cancer. To assess current literature on short-term outcomes of rectal cancer treatment using laparoscopic surgery in comparison to the open approach. We performed a systematic review and meta-analysis according to the PRISMA guidelines. The primary outcomes of interest were morbidity and short-term complications. We identified 4,328 potential references. In the end we included 13 randomized controlled trials (RCTs). We did not find any significant differences in terms of morbidity, haemorrhage, ureter injury, anastomotic leakage, mortality, intra-abdominal abscess or postoperative ileus. We found significant differences in the rate of surgical site infections, operative time, blood loss, length of hospital stay and time to first bowel movement. This systematic review based on available RCTs confirms that laparoscopic rectal cancer surgery is associated with s...Continue Reading

Citations

Nov 12, 2019·Cell Biochemistry and Function·Min DengXiaodong Chen
Nov 30, 2019·International Journal of Clinical Oncology·Tunyaporn KamonvarapitakHiroshi Yoshida
May 20, 2020·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Alexander Harald Ralf FrankKonrad Karcz
Nov 9, 2018·World Journal of Surgical Oncology·Mateusz RubinkiewiczMichał Pędziwiatr

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