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

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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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Authors and Affiliations

  1. Department of Colorectal Surgery, The First Affiliated Hospital, Guangzhou University of Traditional Chinese Medicine, 16 Airport Road, Guangzhou, 510405, China

    Wen-Tao Zhao

  2. Department of General Surgery, The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, China

    Ning-Ning Li

  3. Department of General Surgery, Hospital of Chengdu Office of People’s Government of Tibetan Autonomous Region, Chengdu, China

    Dan He

  4. Department of General Surgery, Chengdu Second People’s Hospital, Chengdu, China

    Jin-Yan Feng

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  1. Wen-Tao Zhao
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  2. Ning-Ning Li
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  3. Dan He
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Correspondence to Wen-Tao Zhao.

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Zhao, WT., Li, NN., He, D. et al. Transanal Tube for the Prevention of Anastomotic Leakage After Rectal Cancer Surgery: A Systematic Review and Meta-analysis. World J Surg 41, 267–276 (2017). https://doi.org/10.1007/s00268-016-3758-9

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  • DOI: https://doi.org/10.1007/s00268-016-3758-9

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