Abstract
The objective of this review is to analyze the bladder and sexual dysfunction after laparoscopic (LTME) and open total mesorectal excision (OTME) for rectal cancer. Electronic databases were searched to find relevant randomized controlled trials and their data were analyzed to generate a summative outcome. Three studies on LTME and OTME encompassing 258 patients were retrieved from the electronic databases. Two studies on 108 patients qualified for this review. There were 53 and 55 patients in LTME and OTME groups respectively. In the both fixed and random effects models, statistically there was no difference in bladder dysfunction, overall sexual dysfunction, overall male sexual dysfunction, overall female sexual dysfunction, male erectile dysfunction and male ejaculatory dysfunction between LTME and OTME. Both LTME and OTME are associated with equal risk of bladder and sexual dysfunction in both genders following resections for rectal cancer.
Highlights
There were 53 and 55 u patients in LTME and open total mesorectal excily sion (OTME) groups respectivel ly. In the both fixed and random effects models, ia statistically there was no difference in bladder dysfunction, overall sexual dysfunction, overall rc male sexual dysfunction, overall female sexual dysfunction, male erectile dysfunction and e male ejaculatory dysfunction between LTME m and OTME
The objective of this review is to analyze the incidence of bladder and sexual dysfunction after laparoscopic (LTME) versus open mesorectal excision (OTME) for rectal cancers
All studies on LTME versus OTME for rectal cancers published between January 1980 and August 2008 were identified through searches of MEDLINE, EMBASE, CINAHL, Cochrane library and Pubmed databases
Summary
All studies on LTME versus OTME for rectal cancers published between January 1980 and August 2008 were identified through searches of MEDLINE, EMBASE, CINAHL, Cochrane library and Pubmed databases. Publication bias was difficult to assess due to fewer patients the small number of studies in this review. The related article function was used to widen the search results. Precise surgical abstracts, comparative studies, non-randomized Three studies[20-22] on LTME and OTME technique using the principles of total trials and citations scanned were searched com- encompassing 258 patients were retrieved mesorectal excision (TME) are instrumental prehensively. Studies using Inclusion criteria care system to evaluate the efficacy of an operation[4] must not be ignored in the quest for oncological excellence. The reported incidence of 8-54% Statistical analyses were performed by a senior Trials in all languages [Surgical Techniques Development 2011; 1:e4]
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