Objective assessment of minimally invasive total mesorectal excision performance: a systematic review.

摘要: Laparoscopy is widely used in colorectal practice, but recent trial results have questioned its use rectal cancer resections. Patient outcomes are directly linked to the quality of total mesorectal excision (TME) specimen. Objective assessment intraoperative performance could help ensure competence and delivery optimal outcomes. tools may also contribute TME intervention trials, their nature, structure utilisation unknown. To systemically review available literature report on for objective minimally invasive operative within multicentre laparoscopic randomised controlled trials. A systematic search PubMed Cochrane databases was performed identify accordance with PRISMA guidelines, independently by two authors. The identified were then evaluated reported RCTs. 8642 abstracts screened which 12 papers met inclusion criteria; ten prospective observational studies, one educational consensus. Eight methods described, include formative summative tools. mostly adaptations colonic surgery based either video or post-operative trainer rating. All studies feasible, only 126 (7%) 1762 included cases TME. No using any surgical tool. most current adaptation surgery. There a need develop dedicated minimal access RCT