Total mesorectal excision laparoscopic versus transanal approach for rectal cancer: A systematic review and meta-analysis

Salvatore Lo Bianco; Katia Lanzafame; Caterina Domenica Piazza; Vincenzo Gaetano Piazza; Daniele Provenzano; Diego Piazza

doi:10.1016/j.amsu.2022.103260

Total mesorectal excision laparoscopic versus transanal approach for rectal cancer: A systematic review and meta-analysis

Ann Med Surg (Lond). 2022 Jan 24:74:103260. doi: 10.1016/j.amsu.2022.103260. eCollection 2022 Feb.

Authors

Salvatore Lo Bianco¹, Katia Lanzafame², Caterina Domenica Piazza¹, Vincenzo Gaetano Piazza¹, Daniele Provenzano³, Diego Piazza¹

Affiliations

¹ Department of Oncological Surgery, ARNAS Garibaldi Catania, Via Palermo 636, 95100, Catania, Italy.
² Resident in Oncology, University of Messina, Piazza Pugliatti 1, 98122, Messina, Italy.
³ Department of MCAU, ASP Catania, Via Santa Maria la Grande 5, 95100, Catania, Italy.

Abstract

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.

Keywords: LA-TME; Mesorectum; Rectal cancer; TA-TME; TME.

Publication types

Review