Complete Mesocolic Excision Versus Traditional Resection For Colon Cancer: Meta-analysis

Objective: To evaluate whether the efficient and safety after CME forcolon cancer, compared with traditional resection. Methods: We searchedthe bibliographic databases in order to identify relevant studies from2008to2013, included randomized controlled (RCT) and non-randomizedconcurrent control trials. We fetched the clinic trials’ characteristics tofinish the META-analysis with the standards for inclusion and exclusion.Results: We confirmed5clinical trials finally. In comparison with thetraditional resection group, the lymph nodes harvest was more than thetraditional resection [IV3.66，95%CI(2.28,5.04)，P<0.00001]. And theperioperative bleeding [IV42.22，95%CI(-22.59,107.02)，P=0.2]、complication [IV-0.05，95%CI(-0.53,0.42)，P=0.82]、time for analexhaust [IV0.28，95%CI(-0.39,0.95)，P=0.41]、length of hospital stay[IV0.07，95%CI(-3.01,3.16)，P=0.96] has no significant differences inthe rate. Conclusion: The CME can improve the5-year survival, and safe like the traditional resection.