直肠癌全直肠系膜切除的腹腔镜与经肛门入路：一项系统评价和荟萃分析
Total mesorectal excision laparoscopic versus transanal approach for rectal cancer: A systematic review and meta-analysis.
作者信息
Lo Bianco Salvatore, Lanzafame Katia, Piazza Caterina Domenica, Piazza Vincenzo Gaetano, Provenzano Daniele, Piazza Diego
机构信息
Department of Oncological Surgery, ARNAS Garibaldi Catania, Via Palermo 636, 95100, Catania, Italy.
Resident in Oncology, University of Messina, Piazza Pugliatti 1, 98122, Messina, Italy.
出版信息
Ann Med Surg (Lond). 2022 Jan 24;74:103260. doi: 10.1016/j.amsu.2022.103260. eCollection 2022 Feb.
INTRODUCTION
Total mesorectal excision (TME) performed for the first time by Held through an open approach, it has become the standard technique for the surgical treatment of rectal cancer. The aim the of this meta-analysis is to compare the outcomes provided by TaTME than LaTME.
MATERIAL AND METHODS
In this meta-analysis, we included all comparative studies, prospective and retrospective, which addressed in low and middle rectal cancer, a comparison between TaTME and LaTME. A search was performed through MEDLINE and Cochrane Database. 846 records were identified.
RESULTS
Eight relevant studies have been included in this meta-analysis. The studies were from France, Russia, USA, Netherlands, Taiwan, Egypt. The eight studies including 471 patients with middle or low rectal cancer.
CONCLUSION
The meta-analysis confirmed safety of TaTME for low and middle rectal cancer. TaTME can lead to a high quality of rectal cancer resection specimen.
引言
全直肠系膜切除术（TME）由赫尔德首次通过开放手术方式实施，现已成为直肠癌外科治疗的标准技术。本荟萃分析的目的是比较经肛全直肠系膜切除术（TaTME）与腹腔镜全直肠系膜切除术（LaTME）的治疗效果。
材料与方法
在本荟萃分析中，我们纳入了所有关于低位和中位直肠癌的前瞻性和回顾性比较研究，比较TaTME和LaTME。通过医学文献数据库（MEDLINE）和考克兰数据库进行检索。共识别出846条记录。
结果
本荟萃分析纳入了八项相关研究。这些研究来自法国、俄罗斯、美国、荷兰、台湾、埃及。这八项研究共纳入471例低位或中位直肠癌患者。
结论
荟萃分析证实了TaTME治疗低位和中位直肠癌的安全性。TaTME可实现高质量的直肠癌切除标本。
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