@article{JGO118275,
author = {Xiaobin Zhang and Zhao Chen and Zongyu Liang},
title = {Transanal drainage tube versus diverting stoma for reducing anastomotic leakage after rectal cancer surgery: a systematic review and meta-analysis},
journal = {Journal of Gastrointestinal Oncology},
volume = {17},
number = {3},
year = {2026},
keywords = {},
abstract = {Background: Anastomotic leakage (AL) remains a significant postoperative concern in rectal cancer patients following anterior resection. This study aims to compare the effectiveness of a transanal drainage tube (TDT) versus a diverting stoma (DS) in reducing the incidence of this complication.Methods: The systematic review was conducted following a comprehensive search of the PubMed, EMBASE, Web of Science, and Cochrane Library databases for all relevant studies published from inception to December 2025. For the meta-analyses, Review Manager 5.4 software was used, with a random-effects model applied as needed.Results: A total of seven studies encompassing 1,347 participants were included in the analysis. Overall, no significant difference in the risk of AL was observed between the TDT and DS groups [odds ratio (OR) =0.75, 95% confidence interval (CI): 0.42 to 1.29, P=0.28]. Specifically, the TDT group exhibited a significantly lower incidence of bowel obstruction (OR =0.16, 95% CI: 0.08 to 0.32, P},
issn = {2219-679X}, url = {https://jgo.amegroups.org/article/view/118275}
}