A meta-analysis to determine the oncological implications of conversion in laparoscopic colorectal cancer surgery

2015 ◽  
Vol 17 (6) ◽  
pp. 482-490 ◽  
Author(s):  
C. Clancy ◽  
D. P. O'Leary ◽  
J. P. Burke ◽  
H. P. Redmond ◽  
J. C. Coffey ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Meta Analysis ◽  
Cancer Surgery ◽  
Colorectal Cancer Surgery

scholarly journals Fast-track surgery versus traditional perioperative care in laparoscopic colorectal cancer surgery: a meta-analysis

BMC Cancer ◽  
2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Jun-hua Zhao ◽  
Jing-xu Sun ◽  
Peng Gao ◽  
Xiao-wan Chen ◽  
Yong-xi Song ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Perioperative Care ◽  
Fast Track ◽  
Meta Analysis ◽  
Cancer Surgery ◽  
Fast Track Surgery ◽  
Colorectal Cancer Surgery

scholarly journals Chewing Gum for Intestinal Function Recovery after Colorectal Cancer Surgery: A Systematic Review and Meta-Analysis

2017 ◽  
Vol 2017 ◽  
pp. 1-13 ◽  
Author(s):  
Binbin Mei ◽  
Wenting Wang ◽  
Feifei Cui ◽  
Zunjia Wen ◽  
Meifen Shen
Keyword(s):  
Colorectal Cancer ◽  
Large Scale ◽  
Meta Analysis ◽  
Cancer Surgery ◽  
Cochrane Library ◽  
Chewing Gum ◽  
Intestinal Function ◽  
Colorectal Cancer Surgery ◽  
Gum Chewing ◽  
Function Recovery

Background. This meta-analysis was performed to assess the efficacy and safety of chewing gum in intestinal function recovery after colorectal cancer surgery. Methods. A systematic search was conducted in PubMed, Embase, Science Direct, and Cochrane library for relevant randomized controlled trials (RCTs) published until April 2017. Summary risk ratios or weighted mean differences with 95% confidence intervals were used for continuous and dichotomous outcomes, respectively. Results. 17 RCTs with a total number of 1845 patients were included. Gum chewing following colorectal cancer surgery significantly reduced the time to first passage of flatus (WMD −0.55; 95% CI −0.94 to −0.16; P=0.006), first bowel movement (WMD −0.60; 95% CI −0.87 to −0.33; P<0.0001), start feeding (WMD −1.32; 95% CI −2.18 to −0.46; P=0.003), and the length of postoperative hospital stay (WMD −0.88; 95% CI −1.59 to −0.17; P=0.01), but no obvious differences were found in postoperative nausea, vomiting, abdominal distention, pneumonia, and mortality, which were consistent with the findings of intention to treat analysis. Conclusions. Chewing gum could accelerate the recovery of intestinal function after colorectal cancer surgery. However, it confers no advantage in postoperative clinical complications. Further large-scale and high-quality RCTs should be conducted to confirm these results.

scholarly journals Does Intraperitoneal Chemotherapy Increase the Incidence of Anastomotic Leakage after Colorectal Cancer Surgery: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Yu Yang ◽  
Yuxuan Li ◽  
Xiaohui Du
Keyword(s):  
Colorectal Cancer ◽  
Systematic Review ◽  
Anastomotic Leakage ◽  
Incidence Rate ◽  
Intraperitoneal Chemotherapy ◽  
Meta Analysis ◽  
Abdominal Cavity ◽  
Cancer Surgery ◽  
Colorectal Cancer Surgery ◽  
Increased Risk

Purpose. To identify and evaluate the influence of intraperitoneal chemotherapy without hyperthermia (ICwh) to the incidence of anastomotic leakage (AL) after colorectal cancer surgery. Methods. A systematic review and meta-analysis were performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses in order to review all studies investigating the relationship between ICwh and AL in patients undergoing colorectal surgery. The primary outcome was overall incidence rate of anastomotic leakage. Results. Four studies were included in the final review. ICwh was associated with an overall increased risk of anastomotic leakage [OR 2.05 (1.06, 3.98), P = 0.03 ]. But there was no significant increased incidence rate when fluorouracil was implanted into the abdominal cavity for ICwh [OR 2.48 (0.55, 11.10), P = 0.24 ]. Conclusions. This meta-analysis provides some evidence to suggest ICwh may increase the incidence of postoperative AL in colorectal cancer. However, fluorouracil implantation for ICwh does not increase the risk of AL, which seems to be a relatively safe method of ICwh.

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