Table 3. Summary of the studies comparing LE vs. radical surgery for early rectal cancer.
| Study | T stage | Patients (n) | Excision technique | FU (mos) | 5-year local recurrence (%) | 5-year distant recurrence (%) | 5-year disease-free survival (%) | 5-year overall survival (%) | Negative margin (%) | Intact specimen (%) | Post op complications (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|
| TAE vs. TME | |||||||||||
| Nascimbeni et al. (47), 2004 | T1 | 70 | TAE | 54 | 6.6 | 14.2 | 66.6 | 72.4 | – | – | – |
| 74 | TME | – | 2.8 | 6.9 | 83.6 | 90.4 | – | – | – | ||
| Endreseth et al. (48), 2005 | T1 | 35 | TAE | 60 | 12 | 0 | 64 | 70 | 46 | – | – |
| 256 | TME | 60 | 6 | 7 | 77 | 80 | 100 | – | – | ||
| Bentrem et al. (49), 2005 | T1 | 151 | TAE | 48 | 15 | 12 | 93 | 89 | – | – | – |
| 168 | TME | 58 | 3 | 3 | 97 | 93 | – | – | – | ||
| Nash et al. (50), 2009 | T1 | 137 | TAE | 59 | 13 | – | 83 | – | – | – | – |
| 145 | TME | 77 | 2.7 | – | 96 | – | – | – | – | ||
| TEM vs. TME | |||||||||||
| De Graafet al. (51), 2009 | T1 | 80 | TEM | 42 | 24 | 0 | 90 | 75 | – | – | 5.8 |
| 75 | TME | 84 | 0 | 8 | 87 | 77 | – | – | 64 | ||
| Palma et al. (11), 2009 | – | 34 | TEM | 86.5 | 5.9 | 5.9 | 82.4 | 88.2 | – | – | 2.9 |
| 17 | TME | 93 | 0 | 0 | 82.4 | 82.4 | – | – | 23.5 | ||
| TAE vs. TEM vs. TME | |||||||||||
| Ptok et al. (52), 2007 | T1 | 85 | TAE | 44 | 6.0 (combined LE) | 4.0 (combined LE) | 91.4 (combined LE) | 83.6 | – | – | 9.4 |
| 35 | TEM | – | – | – | – | – | – | – | 2.9 | ||
| 359 | TME | – | 2 | 4 | 92.3 | 91.5 | – | – | 25.1 | ||
| LE vs. TME | |||||||||||
| You et al. (53), 2007 | T1 | 601 | LE | 60 | 8.2 | 3.6 | 93.2 | 77.4 | – | – | LE (T1 + T2) |
| 493 | TME | – | 4.3 | 2.6 | 97.2 | 81.7 | – | – | 5.6 | ||
| T2 | 164 | LE | – | 12.6 | 5 | 90.2 | 67.6 | – | – | TME (T1 + T2) | |
| 866 | TME | – | 7.2 | 7.7 | 91.7 | 76.6 | – | – | 14.6 | ||
| TAE vs. TEM | |||||||||||
| Moore et al. (37), 2008 | T1, T2 T3 | 89 | TAE | 53 | 24 | 4 | – | – | 71 | 65 | 17 |
| 82 | TEM | 20 | 4 | 1 | – | – | 90 | 94 | 15 |
LE, local excision; TAE, transanal excision; TME, total mesorectal excision; TEM, transanal endoscopic microsurgery.