Quality of life and functional outcomes after laparoscopic total mesorectal excision (LaTME) and transanal total mesorectal excision (taTME) for rectal cancer. an updated meta-analysis.


Journal

International journal of colorectal disease
ISSN: 1432-1262
Titre abrégé: Int J Colorectal Dis
Pays: Germany
ID NLM: 8607899

Informations de publication

Date de publication:
09 Aug 2024
Historique:
accepted: 02 08 2024
medline: 9 8 2024
pubmed: 9 8 2024
entrez: 9 8 2024
Statut: epublish

Résumé

Concerns exist regarding the potential for transanal total mesorectal excision (TaTME) to yield poorer functional outcomes compared to laparoscopic TME (LaTME). The aim of this study is to assess the functional outcomes following taTME and LaTME, focusing on bowel, anorectal, and urogenital disorders and their impact on the patient's QoL. A systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and A Measurement Tool to Assess systematic Reviews (AMSTAR) guidelines. A comprehensive search was conducted in Medline, Embase, Scopus, and Cochrane Library databases. The variables considered are: Low Anterior Resection Syndrome (LARS), International Prostate Symptom Score (IPSS) and Jorge-Wexner scales; European Organisation for Research and Treatment of Cancer (EORTC) QLQ-C29 and QLQ-C30 scales. Eleven studies involving 1020 patients (497-taTME group/ 523-LaTME group) were included. There was no significant difference between the treatments in terms of anorectal function: LARS (MD: 2.81, 95% CI: - 2.45-8.08, p = 0.3; I2 = 97%); Jorge-Wexner scale (MD: -1.3, 95% CI: -3.22-0.62, p = 0.19). EORTC QLQ C30/29 scores were similar between the groups. No significant differences were reported in terms of urogenital function: IPSS (MD: 0.0, 95% CI: - 1.49-1.49, p = 0.99; I This review supports previous findings indicating that functional outcomes and QoL are similar for rectal cancer patients who underwent taTME or LaTME. Further research is needed to confirm these findings and understand the long-term impact of the functional sequelae of these surgical approaches.

Identifiants

pubmed: 39120642
doi: 10.1007/s00384-024-04703-x
pii: 10.1007/s00384-024-04703-x
doi:

Types de publication

Journal Article Meta-Analysis Systematic Review Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

129

Informations de copyright

© 2024. The Author(s).

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Auteurs

Sara Lauricella (S)

Colorectal Surgery Division, Department of Surgery, Fondazione IRCCS Istituto Nazionale Dei Tumori, 20133, Milan, Italy.

Francesco Brucchi (F)

University of Milan, 20122, Milan, Italy. francesco.brucchi@unimi.it.

Francesco Maria Carrano (FM)

Department of Medical and Surgical Sciences and Translational Medicine, Faculty of Medicine and Psychology, St Andrea Hospital, Sapienza University, Rome, Italy.

Diletta Cassini (D)

ASST Nord Milano-Department of General Surgery, Sesto San Giovanni Hospital, Sesto San Giovanni, MI, Italy.

Roberto Cirocchi (R)

Digestive and Emergency Surgery Unit, S.Maria Hospital Trust, 05100, Terni, Italy.

Patricia Sylla (P)

Division of Colon and Rectal Surgery, Mount Sinai Health System, New York, NY, USA.

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