Table 1.
Authors | Study type | Study period | Inclusion criteria | Neoadjuvant therapy | Surgical procedure | Quality assessment |
---|---|---|---|---|---|---|
Lezoche et al. 21 | RCT | 1997–2004 | cT2N0 < 3 cm, within 6 cm of a.v., G1–2, ASA I‐II | 50.4 Gy + 5‐FU | TEM vs TME | 3/5 |
Jawitz et al. 22 | Retro | 2004–2015 | cT2N0M0 rectal cancer, > 18 yo | TEM vs TME | 16/24 | |
Lee et al. 23 | Retro | 2004–2014 | cT2N0M0 | TEM vs TME | 16/24 | |
Lynn et al. 24 | Retro |
2006–2009 1996–1999 |
cT2N0 < 4 cm, involving < 40% rectal circum, within 8 cm of a.v., ECOG Performance Status ≤ 2; pT2N0M0 within 8 cm of a.v. | 54 Gy, 50.4 Gy + CAPOX; Short‐course radiotherapy | TEM, TAE vs TME | 18/24 |
Pericay et al. 25 | Pro | 2007–2013 | cT2‐T3sN0 rectal cancer, G1 or G2 who refused radical surgery | 45 Gy + 5FU or Capecitabine | TEM,TEO | 12/16 |
Garcia‐Aguilar et al. 26 | Pro | 2006–2009 | cT2N0 < 4 cm, involving < 40% rectal circum, within 8 cm of a.v., ECOG Performance Status ≤ 2 | 54 Gy, 50.4 Gy + CAPOX | TEM, TAE | 12/16 |
Noh et al. 27 | Retro | 2002–2009 | Patients refusal of radical surgery and poor performance status | 45 Gy, 50.4 Gy, 44 Gy + 5‐FU, Capecitabine, S1 + IRINOTECAN | NS | 10/16 |
Shin et al. 28 | Retro | 2006–2014 | cT2N0M0 rectal cancer within 7 cm from the a.v., cCR or near cCR | 50.0 Gy + 5‐FU or Capecitabine | TAE, TAMIS | 10/16 |
Yu et al. 29 | Retro | 2000–2009 | cT2N0M0 rectal cancer below 5 cm from a.v. | 50.4 Gy + 5‐FU or Capecitabine | NS | 10/16 |
Guerrieri et al. 30 | Retro | 1992–2013 | cT2N0M0 rectal cancer < 3 cm, high‐risk patients (ASA III‐IV) or who refused conventional resection | 50.4 Gy + 5‐FU or Capecitabine | TEM | 12/16 |
Quality assessment was carried out using the MINORS score for non‐randomized studies and using a Jadad score for RCT.
RCT, randomized controlled trial; Retro, retrospective study; Pro, prospective study; ASA, American Society of Anesthesiology Score; a.v., anal verge; ECOG, Eastern Cooperative Oncology Group; cCR, complete clinical response; TEM, transanal endoscopic microsurgery; TAMIS, transanal minimally invasive surgery; TAE, transanal excision; NS, not specified; TME, total mesorectal excision.