Delayed coloanal anastomosis as a stoma‐sparing alternative to immediate coloanal anastomosis: A systematic review and meta‐analysis

Recent clinical trials have demonstrated favorable outcomes associated with trans‐anal colonic pull‐through for rectal resection followed by delayed coloanal anastomoses (DCA), resulting in a resurgence in popularity of the technique. This meta‐analysis aims to review existing literature to evaluate the postoperative complications associated with DCA, and to make comparisons with immediate coloanal anastomoses (ICA) after colorectal resection to assess the suitability of DCA as an alternative form of surgical treatment.

[1]  E. Espin,et al.  Two-Stage Turnbull-Cutait Pull-Through Coloanal Anastomosis for Low Rectal Cancer: A Randomized Clinical Trial. , 2020, JAMA surgery.

[2]  Q. Denost,et al.  Delayed coloanal anastomosis: an alternative option for restorative rectal cancer surgery after high‐dose pelvic radiotherapy for prostate cancer , 2020, Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland.

[3]  M. Melo,et al.  Turnbull- Cutait Technique, a Way to Avoid Hartman’s Procedure in Upper And Middle Rectal Anastomosis Leakage. , 2020 .

[4]  J. Lefèvre,et al.  Long term functional results and quality of life in redo rectal surgery: delayed versus immediate colo-anal anastomosis. , 2020, Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland.

[5]  A. Adeyemo,et al.  Prevalence of vitamin D deficiency in Africa: a systematic review and meta-analysis , 2019, The Lancet. Global health.

[6]  J. Lefèvre,et al.  What is the functional result of a delayed coloanal anastomosis in redo rectal surgery? , 2019, ANZ journal of surgery.

[7]  J. Bleier,et al.  Ostomy-Related Complications , 2019, Clinics in Colon and Rectal Surgery.

[8]  J. R. Nansseu,et al.  Global prevalence of diabetes in active tuberculosis: a systematic review and meta-analysis of data from 2·3 million patients with tuberculosis. , 2019, The Lancet. Global health.

[9]  J. E. Jansen,et al.  Cost analysis in a randomized trial of early closure of a temporary ileostomy after rectal resection for cancer (EASY trial) , 2019, Surgical Endoscopy.

[10]  G. Portale,et al.  Delayed Colo-anal Anastomosis for Rectal Cancer: Pelvic Morbidity, Functional Results and Oncological Outcomes: A Systematic Review , 2019, World Journal of Surgery.

[11]  Sultan Ayaz-Alkaya.  Overview of psychosocial problems in individuals with stoma: A review of literature , 2018, International wound journal.

[12]  P. Incollingo,et al.  Reappraisal of pull-through delayed colo-anal anastomosis for surgical treatment of low rectal cancer: do we have to look back to go forward? , 2018, Annals of Laparoscopic and Endoscopic Surgery.

[13]  S. Biondo,et al.  Quality of life and anterior resection syndrome after surgery for mid to low rectal cancer: A cross-sectional study. , 2018, European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology.

[14]  D. Voirin,et al.  Laparoscopic delayed coloanal anastomosis without diverting ileostomy for low rectal cancer surgery: 85 consecutive patients from a single institution , 2018, Techniques in Coloproctology.

[15]  G. Barugola,et al.  Hostile pelvis: how to avoid permanent stoma , 2018, Updates in Surgery.

[16]  M. Jabbari Nooghabi,et al.  Three Anastomotic Techniques Following Laparoscopic Rectal Cancer Resection: Our Experience in 155 Patients , 2018, Surgical innovation.

[17]  F. Bianco,et al.  Modified Pull-Through Technique With A Delayed High Coloanal Anastomosis: No Stoma and Scarless Surgery for Low Rectal Cancer. , 2017, Diseases of the colon and rectum.

[18]  J. C. Evans,et al.  Key statistical assumptions and methods in one-arm meta-analyses with binary endpoints and low event rates, including a real-life example in the area of endoscopic colonic stenting , 2017 .

[19]  Ping Huang,et al.  Transanal Pull-Through Procedure with Delayed versus Immediate Coloanal Anastomosis for Anus-Preserving Curative Resection of Lower Rectal Cancer: A Case-Control Study , 2016, The American surgeon.

[20]  F. Bianco,et al.  “Scarless” and no-stoma surgery for low rectal cancer: the laparoscopic pull-through delayed “high” colo-anal anastomosis , 2016, Updates in Surgery.

[21]  J. Church,et al.  Su1766 Restorative Proctectomy for Crohn's Proctitis: Resurrecting the Turnbull-Cutait Coloanal Anastomosis , 2016 .

[22]  M. Tzardi,et al.  Clinical practice guidelines for the surgical treatment of rectal cancer: a consensus statement of the Hellenic Society of Medical Oncologists (HeSMO) , 2016, Annals of gastroenterology.

[23]  Y. Panis,et al.  Redo-surgery by transanal colonic pull-through for failed anastomosis associated with chronic pelvic sepsis or rectovaginal fistula , 2015, International Journal of Colorectal Disease.

[24]  R. Grégoire,et al.  Anastomotic salvage after rectal cancer resection using the Turnbull-Cutait delayed anastomosis. , 2014, Canadian journal of surgery. Journal canadien de chirurgie.

[25]  M. Aerts,et al.  Metaprop: a Stata command to perform meta-analysis of binomial data , 2014, Archives of Public Health.

[26]  A. Pujahari,et al.  Trans-anal exteriorisation of colon and delayed colo-anal anastomosis for sphincter preservation in low carcinoma rectum , 2014, International Journal of Colorectal Disease.

[27]  Jiming Liu,et al.  Estimating the sample mean and standard deviation from the sample size, median, range and/or interquartile range , 2014, BMC Medical Research Methodology.

[28]  D. Cutait,et al.  A new method of colorectal anastomosis in abdominoperineal resection. , 2013, Diseases of the colon and rectum.

[29]  B. Erkek,et al.  Morbidity and mortality after the closure of a protective loop ileostomy: analysis of possible predictors. , 2012, Hepato-gastroenterology.

[30]  J. Faucheron,et al.  Laparoscopic Rectosigmoid Resection With Transanal Colonic Pull-Through and Delayed Coloanal Anastomosis: A New Approach to Adult Hirschsprung Disease , 2011, Diseases of the colon and rectum.

[31]  C. Bellera,et al.  Delayed colo-anal anastomosis is an alternative to prophylactic diverting stoma after total mesorectal excision for middle and low rectal carcinomas. , 2011, European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology.

[32]  E. Dixon,et al.  Postoperative Complications Following Surgery for Rectal Cancer , 2010, Annals of surgery.

[33]  J. Ioannidis,et al.  The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration , 2009, Annals of Internal Medicine [serial online].

[34]  W. Tan,et al.  Meta‐analysis of defunctioning stomas in low anterior resection for rectal cancer , 2009, The British journal of surgery.

[35]  V. Fazio,et al.  Outcomes following Turnbull–Cutait abdominoperineal pull‐through compared with coloanal anastomosis , 2009, The British journal of surgery.

[36]  R. Sjödahl,et al.  Defunctioning Stoma Reduces Symptomatic Anastomotic Leakage After Low Anterior Resection of the Rectum for Cancer: A Randomized Multicenter Trial , 2007, Annals of surgery.

[37]  J. Gérard,et al.  Functional results of delayed coloanal anastomosis after preoperative radiotherapy for lower third rectal cancer. , 2000 .

[38]  Colin D. Johnson,et al.  Quality of life in stoma patients , 1999, Diseases of the colon and rectum.

[39]  R. Turnbull.  Pull-through resection of the rectum, with delayed anastomosis, for cancer or Hirschsprung's disease. , 1966, Surgery.

[40]  R. Turnbull,et al.  Abdominorectal pull-through resection for cancer and for Hirschsprung's disease. Delayed posterior colorectal anastomosis. , 1961, Cleveland Clinic quarterly.

[41]  W. Law,et al.  Morbidities after closure of ileostomy: analysis of risk factors , 2015, International Journal of Colorectal Disease.

[42]  P. Tugwell,et al.  The Newcastle-Ottawa Scale (NOS) for Assessing the Quality of Nonrandomised Studies in Meta-Analyses , 2014 .

[43]  Karen Shashok,et al.  BMC Medical Research Methodology BioMed Central Debate Conducting a meta-ethnography of qualitative literature: Lessons learnt , 2008 .

[44]  S. Halpern,et al.  Appendix: Jadad Scale for Reporting Randomized Controlled Trials , 2005 .

[45]  J. Gérard,et al.  [Oncologic and functional results of resections with direct delayed coloanal anastomosis in previously irradiated cancers of the lower rectum]. , 1999, Chirurgie; memoires de l'Academie de chirurgie.

[46]  F. D. Griffen,et al.  An improved technique for low anterior resection of the rectum using the EEA stapler. , 1980, Surgery.