Higher rate of perineural invasion in stent–laparoscopic approach in comparison to emergent open resection for obstructing left-sided colon cancer

Kim, Hye Jin; Choi, Gyu–Seog; Park, Jun Seok; Park, Soo Yeun; Jun, Soo Han

doi:10.1007/s00384-012-1556-x

Cited by 111 publications

(96 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Kim et al . also reported the higher rate of perineural invasion in the SEMS group compared with the emergency group . Although the reason for positive venous invasion in the SEMS group in our study remains unclear, these pathological findings might contribute to the negative oncological effect of SEMS treatment.…”

Section: Discussionsupporting

confidence: 48%

Successful single‐stage laparoscopic surgery using a preoperative self‐expanding metallic stent in patients with obstructive colorectal cancer

Hosono

Matsuda

Yamashita

et al. 2018

Asian J Endoscop Surgery

View full text Add to dashboard Cite

Introduction Although a self‐expanding metallic stent (SEMS) or a transnasal or transanal decompression tube is sometimes used as a bridge to surgery in patients with obstructive colorectal cancer, the optimal decompression procedure to achieve successful laparoscopic surgery remains unclear. Methods Forty‐two patients with obstructive colorectal cancer who were preoperatively decompressed by using SEMS (the SEMS group, n = 20) or a decompression tube (the DT group, n = 22) between January 2010 and February 2017 were included in this retrospective study. Results In the SEMS group, 20 patients (100%) were able to eat and 17 patients (85%) were able to undergo total colonoscopy preoperatively, but no patients could do so in the DT group (P < 0.01 and P < 0.01, respectively). The serum albumin level increased in the time between admission and just before surgery in five patients in the SEMS groups (25%), whereas it decreased in all patients in the DT group (P = 0.037). Laparoscopic surgery was performed more frequently in the SEMS groups (19 patients, 95%) than in the DT group (13 patients, 59.1%) (P = 0.018). Primary anastomosis without stoma was also achieved more frequently in the SEMS groups (19 patients, 95%) than in the DT group (15 patients, 68.2%) (P = 0.047). Anastomotic leakage did not occur in the SEMS group, but it did occur in one patient in the DT group. The recurrence‐free survival rate did not differ between the groups (median follow‐up period: 21 months). Conclusion In patients with obstructive colorectal cancer, SEMS appears to be more effective than a decompression tube as a preoperative treatment to achieve successful laparoscopic resection without stoma.

show abstract

Section: Discussionsupporting

confidence: 48%

Successful single‐stage laparoscopic surgery using a preoperative self‐expanding metallic stent in patients with obstructive colorectal cancer

Hosono

Matsuda

Yamashita

et al. 2018

Asian J Endoscop Surgery

View full text Add to dashboard Cite

show abstract

“…Previously reported success rates of SEMS and TDT insertion are consistent with our findings (83%-100% for SEMS, 60%-90% for TDT). 15,18,19,[23][24][25][26][27] SEMS insertion has two main technical advantages over TDT insertion: (1) a thinner guide wire is available for SEMS insertion, which makes it easier to pass through the tumor and (2) the hand-produced insertion force can be efficiently transmitted to the tip of the device because the SEMS can pass through the scope, maintaining a straight and rigid colonic axis. Therefore, SEMS insertion can be performed not only for left-sided MLBO but also for right-sided MLBO relatively easily.…”

Section: Discussionmentioning

confidence: 99%

Comparison between metallic stent and transanal decompression tube for malignant large-bowel obstruction

Matsuda

Miyashita

Matsumoto

et al. 2016

Journal of Surgical Research

View full text Add to dashboard Cite

“…Considering that larger tumors or advanced tumors in the rectum were associated with severe constipation, these results suggest that constipation in patients with rectal cancer may be caused by mass effect. In addition, we consider that advanced rectal cancer could affect for constipation severity by decreasing the compliance of rectum, which may be related to perineural invasion [24,25], lymphatic metastasis followed by obstruction [26,27], or inflammatory cytokines [28]. …”

Section: Discussionmentioning

confidence: 99%

Preoperative constipation is associated with poor prognosis of rectal cancer: a prospective cohort study

Lee

Jang

et al. 2013

J Korean Surg Soc

View full text Add to dashboard Cite

PurposeIt is unknown whether patients with advanced rectal cancer develop severe constipation. Therefore, the objective of this study was to assess whether constipation severity is associated with pathologic progression of rectal cancer.MethodsWe analyzed 472 patients with rectal cancer who underwent elective surgical resection between January 2005 and December 2010. Constipation severity was prospectively evaluated in 407 patients (86.2%) using the Cleveland Clinic Constipation Score System. Linear regression analysis was performed to identify clinicopathologic variables associated with constipation. Kaplan-Meier analysis and Cox proportional hazard models were used to evaluate the prognostic value of constipation severity on disease-free and overall survival.ResultsMultivariable analysis showed that sex (regression coefficient [B] = 1.55; 95% confidence interval [CI], 0.79 to 2.60; P < 0.001), body mass index (B = -0.95; 95% CI, -1.83 to -0.64; P = 0.036), tumor size (B = 1.04; 95% CI, 0.20 to 1.88; P = 0.016), T stage (B = 0.75; 95% CI, 0.23 to 1.27; P = 0.005), and distant metastasis (B = 1.16; 95% CI, 0.03 to 2.30; P = 0.045) were associated with constipation severity. Severe constipation (score ≥ 8) was independently associated with 3-year disease-free survival (vs. scores of 0-3; hazard ratio [HR], 2.39; 95% CI, 1.15 to 4.98; P = 0.020) and 5-year overall survival (HR, 2.30; 95% CI, 1.23 to 4.30; P = 0.009) in multivariable analysis.ConclusionOur results suggest that preoperative constipation severity is associated with advanced pathologic stage and poor oncologic outcomes in patients with rectal cancer.

show abstract

Higher rate of perineural invasion in stent–laparoscopic approach in comparison to emergent open resection for obstructing left-sided colon cancer

Cited by 111 publications

References 26 publications

Successful single‐stage laparoscopic surgery using a preoperative self‐expanding metallic stent in patients with obstructive colorectal cancer

Successful single‐stage laparoscopic surgery using a preoperative self‐expanding metallic stent in patients with obstructive colorectal cancer

Comparison between metallic stent and transanal decompression tube for malignant large-bowel obstruction

Preoperative constipation is associated with poor prognosis of rectal cancer: a prospective cohort study

Contact Info

Product

Resources

About