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56; 95% confidence interval [CI] 0.44 to 0.70; P less then .00001), the postoperative stay (standardized mean difference [SMD] -0.56; 95% CI -0.76 to (-0.37); P less then .00001), and the number of harvested lymph nodes (SMD 0.19; 95% CI 0.09 to 0.29; P = .0003). No significant difference was found in anastomotic leakage rate (OR 0.82; 95% CI 0.59 to 1.12; P = .21), mental disease (OR 0.79; 95% CI 0.44 to 1.44; P = .44), or overall survival rate (P = .62) between two groups. However, in the subgroup with a cutoff age of 80 years, the a