Copyright
©2014 Baishideng Publishing Group Inc.
World J Gastrointest Endosc. May 16, 2014; 6(5): 209-219
Published online May 16, 2014. doi: 10.4253/wjge.v6.i5.209
Published online May 16, 2014. doi: 10.4253/wjge.v6.i5.209
Table 2 Treatment protocol adopted in included trials
Ref. | LTME group | OTME group |
Araujo et al[32] | 4 × 10/11 mm ports were used with some variations | Procedure protocol was not reported |
Trendelenburg position | ||
Harmonic scalpel for dissection | ||
Lateral to medial dissection | ||
Endoscopic stapler for inferior mesenteric pedicle division | ||
Colonic division by endostapler | ||
Standard technique of colostomy construction | ||
Standard perineal phase, dissection and closure | ||
Baraga et al[33] | Intracorporeal vascular pedicle division, rectal mobilization and division, and anastomosis | Procedure protocol was not reported |
Anastomosis by Knight-Griffen technique | Selective defunctioning stoma placement | |
Selective defunctioning stoma placement | ||
Gong et al[34] | 4 ports were used with some variations | Standard open TME |
Medial to lateral dissection | Sphincter preserving surgery in both groups in selective patients | |
Clips to secure inferior mesenteric pedicle | No defunctioning stoma in both groups | |
Rectal division by endostapler | ||
Standard technique of colostomy construction | ||
Standard perineal phase, dissection and closure | ||
Guillou et al[35] | Detailed procedure protocol was not reported | Detailed procedure protocol was not reported |
Jayne et al[36] | 3 yr results of Guillou et al[35] | 3 yr results of Guillou et al[35] |
Detailed procedure protocol was not reported | Detailed procedure protocol was not reported | |
Kang et al[37] | Six weeks after completion of chemoradiotherapy | Detailed procedure protocol was not reported |
5 ports were used | Sphincter preservation in selective patients in both groups | |
Clips to secure inferior mesenteric pedicle | ||
Splenic flexure was mobilized in all patients | ||
Harmonic scalpel or diathermy for dissection | ||
Rectal division by endostapler | ||
Colorectal anastomosis by double staple technique or by trans-anal suture | ||
All patients had defunctioning stoma | ||
Lujan et al[38] | 4 ports were used | Lloyd-Davis position and midline laparotomy |
Stapled side to end colorectal or colo-anal hand sewn anastomosis | Stapled side to end colorectal or colo-anal hand sewn anastomosis | |
Selective defunctioning stoma placement | Sphincter preservation in selective patients in both groups | |
Selective defunctioning stoma placement | ||
Ng et al[39] | 4 or 5 ports were used | Standard open abdominoperineal resection |
Staplers for vascular pedicle and bowel transection | ||
Standard perineal resection | ||
Ng et al[40] | Protocol of the laparoscopic resection technique was not reported | Protocol of the open resection technique was not reported |
Ng et al[41] | Lateral to medial mobilization | Protocol of the open resection technique was not reported |
Endostapler for rectal and vascular pedicle transection | ||
Electrocautry was used to dissect through “Holy plane” for total mesorectal resection | ||
Splenic flexure mobilization in selective patients | ||
Anastomosis by double stapling technique | ||
Defunctioning stoma in selective patients | ||
Zhou et al[42] | Lithotomy position with head down tilt | Standard open total mesorectal excision previously published by Heald et al[10,11] |
Laparoscopy technique was not reported | Electrocautry was used for hemostasis | |
Intracorporeal anastomosis | No defunctioning stoma | |
Endostapler for vascular and rectal transactions | ||
Harmonic scalpel was used for dissection | ||
No defunctioning stoma |
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Citation: Sajid MS, Ahamd A, Miles WF, Baig MK. Systematic review of oncological outcomes following laparoscopic
vs open total mesorectal excision. World J Gastrointest Endosc 2014; 6(5): 209-219 - URL: https://www.wjgnet.com/1948-5190/full/v6/i5/209.htm
- DOI: https://dx.doi.org/10.4253/wjge.v6.i5.209