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©The Author(s) 2021.
World J Gastrointest Surg. Aug 27, 2021; 13(8): 871-884
Published online Aug 27, 2021. doi: 10.4240/wjgs.v13.i8.871
Published online Aug 27, 2021. doi: 10.4240/wjgs.v13.i8.871
Endpoint | No. of patients | No. of studies | LL | HL | OR WMD (95CI) | I2(%) | P value |
Functional outcomes | |||||||
Urinary dysfunction | 2029 | 7 | 1093 | 936 | OR, 1.23 (0.95-1.59) | 25 | 0.12 |
Urinary retention | 1050 | 4 | 301 | 749 | OR, 1.51 (0.85-2.68) | 0 | 0.16 |
Urinary infection | 1617 | 3 | 633 | 984 | OR, 0.29 (0.16-0.54) | 0 | < 0.0001 |
Genitourinary dysfunction | 458 | 2 | 212 | 246 | OR, 0.32 (0.17-0.61) | 0 | 0.0006 |
Nocturnal bowel movement | 884 | 3 | 461 | 423 | OR, 0.73 (0.55-0,97) | 0 | 0.03 |
Need for antidiarrheal or laxative drugs | 187 | 2 | 94 | 93 | OR, 0.70 (0.37-1.30) | 14 | 0.26 |
Wexner’s incontinence score | 274 | 3 | 138 | 136 | MD, -0.01 (-0.71-0.70) | 76 | 0.99 |
Safety outcomes | |||||||
Anastomotic leakage | 4574 | 13 | 1830 | 2744 | OR, 0.69 (0.45-1.07) | 50 | 0.10 |
Anastomotic stenosis | 686 | 4 | 326 | 360 | OR, 0.31 (0.16-0.62) | 46 | 0.0009 |
Postoperative complication | 2622 | 5 | 892 | 1730 | OR, 1.07 (0.66-1.72) | 62 | 0.79 |
Mortality | 822 | 6 | 394 | 428 | OR, 2.70 (0.64-11.40) | 0 | 0.18 |
Operative time | 2491 | 7 | 996 | 1495 | MD, 4.42 (-2.05-10.89 | 80 | 0.18 |
Blood loss | 2357 | 6 | 913 | 1444 | MD, -0.63 (-4.01-2.76) | 76 | 0.72 |
Oncological outcomes | |||||||
Total lymph nodes harvested | 2491 | 7 | 996 | 1495 | MD, 0.68 (-1.03-2.38) | 94 | 0.44 |
Recurrence | 1340 | 8 | 706 | 634 | OR, 0.97 (0.73-1.30) | 0 | 0.85 |
5-year overall survival | 2821 | 7 | 1035 | 1786 | OR, 0.94 (0.61-1.44) | 61 | 0.77 |
5-year disease-free survival | 1523 | 5 | 602 | 921 | OR, 0.86 (0.65-1.14) | 0 | 0.29 |
- Citation: Bai X, Zhang CD, Pei JP, Dai DQ. Genitourinary function and defecation after colorectal cancer surgery with low- and high-ligation of the inferior mesenteric artery: A meta-analysis. World J Gastrointest Surg 2021; 13(8): 871-884
- URL: https://www.wjgnet.com/1948-9366/full/v13/i8/871.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v13.i8.871