Table 2.
Treatment characteristics of included randomized controlled trials
Study | Arm | N | Median Time from Stent/Stoma to OR, d (range) | Type of Resection | N Laparoscopic Resection (%) | N Adjuvant Therapy (%) | N Permanent Stoma (%) |
---|---|---|---|---|---|---|---|
[4] | Surgery | 63 | – | Segmental colectomy—7 (11.1) | 0 | – | 14 (22.2) |
HP—56 (88.9) | |||||||
Stoma | 58 | – | Segmental colectomy—28 (100) | 0 | – | 3 (5.2) | |
[27]† | Surgery | 24 | – | Segmental colectomy + PA—11 (45.8) | 0 | – | 6 (25.0) |
Segmental colectomy + stoma—2 (8.3) | |||||||
HP—11 (45.8) | |||||||
Stent | 24 | – | Segmental colectomy + PA—16 (66.7) | 19 (79.2) | – | 0 | |
Segmental colectomy + stoma—4 (16.7) | |||||||
HP—4 (16.7) | |||||||
[29] | Surgery | 13 | – | LH—6 (46.2) | – | – | 3 (23.1) |
AR—7 (53.8) | |||||||
HP—0 | |||||||
Stent | 15 | – | LH—4 (26.7) | – | – | 1 (6.7) | |
AR—10 (66.7) | |||||||
HP—1 (6.7) | |||||||
Ho, 2011 | Surgery | 19 | – | LH—1 (5.3) | 0 | – | 2 (10.5) |
LAR—11 (57.9) | |||||||
STC—7 (36.8) | |||||||
Stent | 20 | 10 (9–38) | LH—3 (15.0) | 5 (25.0) | – | 1 (5.0) | |
LAR—15 (75.0) | |||||||
STC—2 (10.0) | |||||||
[9] | Surgery | 30 | 56.7 | Splenic flexure—3 (10.0) | – | – | – |
Descending—2 (6.7) | |||||||
Sigmoid—18 (60.0) | |||||||
Rectosigmoid—7 (23.3) | |||||||
Stent | 30 | 46.7 | Splenic flexure—0 | – | – | – | |
Descending—6 (20.0) | |||||||
Sigmoid—15 (50.0) | |||||||
Rectosigmoid—8 (26.7) | |||||||
N/A—1 (3.3) | |||||||
[28]§ | Surgery | 51 | – | Segmental colectomy—51 (100) | – | – | 13 (25.4) |
Stent | 47 | 5–14* | Segmental colectomy—47 (100) | – | – | 7 (14.9) | |
[13] | Surgery | 30 | – | STC—30 (100) | 0 | 23 (76.7) | – |
Stent | 30 | 7–10* | LH—18 (60.0) | – | 24 (80.0) | – | |
AR—12 (40.0) | |||||||
[11]† | Surgery | 24 | – | Segmental colectomy + PA—24 (100) | 23 (95.8) | 13 (54.2) | 6 (25.0) |
Stent | 24 | 10 (2–16) | Segmental colectomy + PA—11 (45.8) | 0 | 18 (75.0) | 0 | |
Segmental colectomy + stoma—2 (8.3) | |||||||
HP—11 (45.8) | |||||||
[14] | Surgery | 46 | 50.0 | HP—46 (100) | – | – | – |
Stoma | 28 | 57.1 | Segmental colectomy—28 (100) | – | – | – | |
[46]§ | Surgery | 32 | – | Segmental colectomy—32 (100) | – | 15 (46.9) | – |
Stent | 26 | – | Segmental colectomy—26 (100) | – | 13 (50.0) | – | |
[7]‡ | Surgery | 59 | – | LH—11 (18.6) | 17 (28.8) | 55 (93.2) | – |
AR—2 (3.4) | |||||||
HP—20 (33.9) | |||||||
STC—15 (25.4) | |||||||
Segmental colectomy—10 (16.9) | |||||||
Colostomy—1 (1.7) | |||||||
N/A—0 | |||||||
Stent | 56 | 5 (3–8) | LH—27 (48.2) | 23 (41.1) | 48 (85.7) | – | |
AR—13 (23.2) | |||||||
HP—11 (19.6) | |||||||
STC—2 (3.6) | |||||||
Segmental colectomy—1 (1.8) | |||||||
Colostomy—0 | |||||||
N/A—2 (3.6) | |||||||
[12]‡ | Surgery | 59 | – | LH—11 (18.6) | 17 (28.8) | 55 (93.2) | – |
AR—2 (3.4) | |||||||
HP—20 (33.9) | |||||||
STC—15 (25.4) | |||||||
Segmental colectomy—10 (16.9) | |||||||
Colostomy—1 (1.7) | |||||||
N/A—0 | |||||||
Stent | 56 | 5 (3–8) | LH—27 (48.2) | 23 (41.1) | 48 (85.7) | – | |
AR—13 (23.2) | |||||||
HP—11 (19.6) | |||||||
STC—2 (3.6) | |||||||
Segmental colectomy—1 (1.8) | |||||||
Colostomy—0 | |||||||
N/A—2 (3.6) |
N number of patients, OR operating room, d day, SD standard deviation, LH left hemicolectomy, AR anterior resection, LAR low anterior resection, HP Hartmann’s Procedure, STC subtotal colectomy, PA primary anastomosis
* = range only; † = same study population; ‡ = same study population; § = same study population