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Table 2 Characteristics of included studies

From: Does transanal drainage tubes placement have an impact on the incidence of anastomotic leakage after rectal cancer surgery? a systematic review and meta-analysis

Author

Year

Nation

Age (year)

Sample size

(tube/ no tube)

Study type

NOS

Tumor location

(Above the anal verge)

Type of surgery

Stapling technique

The rate of AL

Type of tube

Indwelling time of tube (days)

Position of tube (above the anastomosis)

Decision to remove

Diverting stoma

Preoperative chemotherapy or radiotherapy

tube

no tube

TDT

Non-TDT

TDT

Non-TDT

Zhao et al

2013

China

Unmentioned

81/77

nRCT

 ≤ 7

Unmentioned

LAR

Single- or double-stapler technique

2/81

7/77

A 26Fr rubber drainage tube

5–6 POD

3-5 cm

b

Excluded

Excluded

Xiao et al

2011

China

46–70

200/198

RCT

 > 7

 ≤ 15 cm

LAR

Double-stapling anastomosis

8/200

19/198

A silicone drainage tube

5–7 POD

Unmentioned

Unmentioned

Excluded

Excluded

Tamura et al

2021

Japan

39–91

79/78

RCT

> 7

 ≤ 15 cm

LLAR

Double stapling technique

6/79

8/78

A 20-24Fr Malecot latex tubes

5 POD

3–5 cm

a

34/79

37/78

10 d/79

19 d/78

Challine et al

2020

France

48.2–76.2

72/72

PCS

 ≤ 7

Unmentioned

LLAR

Double-stapling technique or handsewn

25/72

16/72

A 22Fr Foley catheter

4 POD

Unmentioned

Unmentioned

0/72

72/72

41 d/72

47 d/72

Bu¨low et al

2006

Denmark

37–90

98/96

RCT

 > 7

 ≤ 15 cm

Unmentioned

Unmentioned

14/98

8/96

A transanal silicone stent

Unmentioned

Unmentioned

Unmentioned

44/98

45/96

Excluded

Zhao et al

2021

China

52–69

280/280

RCT

 > 7

5.6-9 cm

LLAR

Double-stapling technique

18/280

19/280

A 28Fr silicone tube

3–7 POD

5 cm

a

72/280

89/280

12c/480

16c/480

Liang et al

2022

China

42.9–70.2

80/83

PCS

 ≤ 7

0.5–8.8 cm

Unmentioned

Unmentioned

8/80

10/83

A novel endo-luminal balloon-assisted drainage (EBAD)

5–6 POD

5 cm

b

0/80

83/83

43d/80

53 d/83

  1. RCT Randomized controlled trials, nRCT non-randomized controlled trials, NOS The Newcastle–Ottawa Scale, PCS Prospective Cohort study, POD postoperative day, LAR low anterior resection, LLAR laparoscopic low anterior resection
  2. a. if the patients had no signs of AL
  3. b. if fecal discharge and gas were continuously observed in transanal drainage fluid but not in the abdominal drainage fluid following the recovery of gastrointestinal function
  4. c. Preoperative chemotherapy
  5. d. Neoadjuvant chemoradiotherapy