Colonic Stent as Bridge to Surgery in Patients with Obstructive Left-Sided Colon Cancer

Bozkurt, Mehmet Abdussamet; Gönenç, Murat; Kapan, Selin; Kocatasş, Ali; Temizgönül, Baha; Alış, Halil

doi:10.4293/jsls.2014.00161

Cited by 19 publications

(8 citation statements)

References 25 publications

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“…The optimal interval between colonic stenting and surgery is controversial [ 3 20 21 ]. The patients were usually allowed to take oral intake in our hospital after confirming of successful function of stent and assessment of the patients' bowel function.…”

Section: Discussionmentioning

confidence: 99%

Influence of old age on the postoperative outcomes of obstructive colorectal cancer surgery after the insertion of a stent

et al. 2015

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PurposeIn some patients more than 70 years of age with obstructive colorectal cancer, their concerns about the postoperative complications lead them to refuse surgery after the insertion of a stent. This study aimed to compare the postoperative outcomes between obstructive colorectal cancer patients aged less than 70 years and those aged 70 years and more who underwent surgery after the insertion of a colonoscopic stent.MethodsPatients with obstructive colorectal cancer who underwent surgery after the insertion of a colonoscopic stent between March 2004 and March 2014 were reviewed retrospectively by using medical records. The patients were divided into two groups: 22 patients were aged less than 70 years (group A) and 30 patients were aged more than 70 years (group B).ResultsAlthough no significant difference in comorbidity was noted between the two groups, the American Society of Anesthesiologists (ASA) score was higher in group B. There was no significant difference in cancer location, stage, or the time from the insertion of the stent to operation. The perioperative results including operation time, blood loss, and length of stay were not significantly different between the groups. The postoperative complications were also not significantly different.ConclusionThe surgical outcomes of elderly patients were similar to those of younger patients, despite higher ASA scores. These results indicate that surgery can be performed safely in elderly patients with obstructive colorectal cancer after the insertion of a stent.

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Section: Discussionmentioning

confidence: 99%

Influence of old age on the postoperative outcomes of obstructive colorectal cancer surgery after the insertion of a stent

et al. 2015

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“…The main treatment for malignant colonic obstruction includes emergency surgery, a transanal or transnasal ileus tube, or a colonic stent. Emergency surgery for the obstruction is associated with higher morbidity and mortality than elective surgery, and the creation of a stoma is necessary in most cases .…”

Section: Introductionmentioning

confidence: 99%

Feasibility of laparoscopic surgery after stent insertion for obstructive colorectal cancer

Shimizu

Yamazaki

Ohtsuka

et al. 2017

Asian J Endoscop Surgery

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“…A meta-analysis showed a median interval of ten days from stent placement to surgery[ 9 ]. A retrospective study from Turkey concluded that time intervals of seven to nine days after stent placement is sufficient for safe surgery[ 18 ]. However, extending the time interval will lead to better recovery of bowel and nutritional status.…”

Section: Discussionmentioning

confidence: 99%

Stent placement followed by preoperative chemotherapy and elective surgery for acute malignant colorectal obstruction: Six cases of report

Liu

Qin

et al. 2019

WJGO

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BACKGROUNDThe self-expandable metal stent is used as a bridge to surgery in the treatment of acute malignant colorectal obstruction (AMCO). However, recent studies have shown inferior long-term outcomes and increased risk of tumor dissemination after stent placement. In addition, the optimal interval between stent placement and surgery is not clear. The aim of the current study was to present a new strategy for AMCO: stent placement followed by preoperative chemotherapy and elective surgery.CASE SUMMARYSix patients were diagnosed as acute obstruction. There was one patient with descending cancer, four with sigmoid cancers and one with rectal cancer. The obstructive symptoms of these six patients were relieved within 3 d after stent placement. After receiving two cycles of preoperative chemotherapy, consisting of modified infusional fluorouracil, leucovorin and oxaliplatin [modified FOLFOX6 (mFOLFOX6)], they underwent elective surgery of primary tumor resection. None of the 6 patients received colostomy or colonic lavage during surgery. There was no complication of anastomotic leak, ileus or surgical site infection after surgery. In addition, the patients had low operation time and blood loss, adequate lymph nodes harvest and fast postoperative recovery.CONCLUSIONThe two-cycle mFOLFOX6 preoperative chemotherapy and elective surgery after stent placement is a safe and feasible strategy in the management of AMCO.

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Colonic Stent as Bridge to Surgery in Patients with Obstructive Left-Sided Colon Cancer

Cited by 19 publications

References 25 publications

Influence of old age on the postoperative outcomes of obstructive colorectal cancer surgery after the insertion of a stent

Influence of old age on the postoperative outcomes of obstructive colorectal cancer surgery after the insertion of a stent

Feasibility of laparoscopic surgery after stent insertion for obstructive colorectal cancer

Stent placement followed by preoperative chemotherapy and elective surgery for acute malignant colorectal obstruction: Six cases of report

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