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Meta-analysis was independently performed on RCTs and cohort studies. The following clinical effects were considered anastomotic drip, reoperation price, additional drain process, period of stay, postoperative morbidity, postoperative death, readmission price and strain relevant problems. Overall, 3 RCTs (330 clients) and 7 cohort studies (2897 patients) had been included. Seven scientific studies originated from Eastern nations. Meta-analysis on RCTs evidenced that strain avoidance halves overal