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World Journal of Surgery
Published in: World Journal of Surgery 1/2017

01-01-2017 | Original Scientific Report

Transanal Tube for the Prevention of Anastomotic Leakage After Rectal Cancer Surgery: A Systematic Review and Meta-analysis

Authors: Wen-Tao Zhao, Ning-Ning Li, Dan He, Jin-Yan Feng

Published in: World Journal of Surgery | Issue 1/2017

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Abstract

Background

Transanal tubes (TTs) have been used to prevent and reduce anastomotic leakage after rectal cancer surgery. The aim of this review was to investigate the efficacy and safety of the TT.

Methods

A systematic literature search was performed to identify randomized controlled trials and controlled clinical trials assessing the clinical efficacy and safety of TTs in rectal cancer surgery.

Results

Seven trials with 1609 participants were included. The TT group had a lower anastomotic leakage rate than the non-transanal tube group [RR 0.38; 95 % confidence interval (CI) 0.25–0.58; P < 0.0001], as well as a lower reoperation rate (RR 0.31; 95 % CI 0.19–0.53; P < 0.0001) and a shorter hospital stay (mean = −2.59 days; 95 % CI −3.69 to −1.49; P < 0.0001). There were no significant differences in mortality between the two groups.

Conclusion

TT use in rectal cancer surgery is likely to be an effective and safe method of preventing and reducing anastomotic leakage and is associated with a decreased risk of reoperation and faster recovery.
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Metadata
Title
Transanal Tube for the Prevention of Anastomotic Leakage After Rectal Cancer Surgery: A Systematic Review and Meta-analysis
Authors
Wen-Tao Zhao
Ning-Ning Li
Dan He
Jin-Yan Feng
Publication date
01-01-2017
Publisher
Springer International Publishing
Published in
World Journal of Surgery / Issue 1/2017
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-016-3758-9

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