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Systemic review and network meta‐analysis comparing minimal surgical techniques for rectal cancer: quality of total mesorectum excision, pathological, surgical, and oncological outcomes
Author(s) -
Rausa Emanuele,
Bianco Federica,
Kelly Michael E.,
Aiolfi Alberto,
Petrelli Fausto,
Bonitta Gianluca,
Sgroi Giovanni
Publication year - 2019
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.25410
Subject(s) - medicine , mesorectum , total mesorectal excision , colorectal cancer , surgery , meta analysis , pathological , general surgery , cancer
Background Minimal invasive surgery has revolutionized recovery in rectal cancer patients. However, there has been debate on its effect on quality of total mesorectal excision (TME) and oncological outcomes. This network meta‐analysis compares laparoscopic, robotic‐assisted, and transanal TMEs. This study shows that All three surgical techniques are comparable across TME quality and oncological outcomes. Ultimately, good outcomes are based on each individual surgeon choosing an approach based on their expertise.