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. 2008 Apr 23;2008(2):CD003432. doi: 10.1002/14651858.CD003432.pub2

Jayne 2007.

Methods RCT 
 Multicenter 
 Sample size calculation 
 Conversion rate 29% 
 Intention to treat 
 Preoperative randomisation 
 Follow‐up 36.8 months (median)
Participants n=794 
 Inclusion criteria: adenocarcinoma of the colon or rectum 
 Exclusion criteria: 
 Transverse colon cancer, contraindications to pneumoperitoneum (chronic cardiac or pulmonary disease), acute intestinal obstruction, malignant disease in the past 5 years, synchronous adenocarcinomas, pregnancy, associated gastrointestinal diseases needing surgical intervention.
Interventions Laparoscopically‐assisted vs open 
 Tumour location: 
 colon or rectum 
 Type of resection: right or left 
 Adj. therapy: radiotherapy and chemotherapy were allowed at the physician`s discretion 
 Type of resection: left or right hemicolectomy, sigmoidectomy, anterior resection, APR
Outcomes Adjuvant therapy, type of resection, localisation of the tumor, tumor stage, TME, number of positive resection margins, duration of follow‐up, local tumor recurrence, distant metastases, cancer‐related mortality.
Notes Halpern and Preston quality score: 20 out of 22
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Low risk A ‐ Adequate