Long-term oncologic outcomes of laparoscopic versus open resection following stent insertion for obstructing colon cancer: a multi-center retrospective study

Bae, Sung Uk; Yang, Chun‐Seok; Kim, Young Ho; Lim, Dong-Jin; Jeong, Woon Kyung; Kim, Dae Dong; Kim, Jae Hwang; Lee, Yoo Jin; Lee, Ju Yup; Kim, Nam Kyu; Baek, Seong Kyu

doi:10.1007/s00464-019-06680-7

Cited by 14 publications

(7 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Despite the favorable short-term outcomes of the stent placement as a BTS, the long-term oncological outcomes of surgery after stent placement have been debated. Several studies have reported no significant difference in survival between elective surgery after stent placement and emergency surgery ( 18 19 20 21 22 ), whereas others have reported worse recurrence-free or overall survival in patients with preoperative stent placement ( 14 15 16 17 ). Therefore, the new European Society of Gastrointestinal Endoscopy (ESGE) guidelines do not strongly recommend preoperative stent placement as a standard treatment for symptomatic left-sided malignant colonic obstruction due to this oncological uncertainty ( 27 ).…”

Section: Discussionmentioning

confidence: 99%

“…However, the potential long-term oncological consequences of preoperative stent placement have been debated. While several investigators have reported increased risk of oncological recurrence in patient with preoperative stent placement, mainly due to stent-related bowel perforation and tumor cell dissemination ( 14 15 16 17 ), others have reported favorable short-term and comparable long-term outcomes of stent placement as a BTS compared to emergency surgery ( 18 19 20 21 22 ).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Fluoroscopic Stent Placement as a Bridge to Surgery for Malignant Colorectal Obstruction: Short- and Long-Term Outcomes

Yun

Jung

2023

J Korean Soc Radiol

View full text Add to dashboard Cite

Purpose To assess the outcomes of single-stage surgery following fluoroscopic stent placement for malignant colorectal obstruction. Materials and Methods This retrospective study included 46 patients (28 male and 18 female; mean age, 67.2 years) who had undergone fluoroscopic stent placement followed by laparoscopic resection ( n = 31) or open surgery ( n = 15) for malignant colorectal obstruction. The surgical outcomes were analyzed and compared. After a mean follow-up of 38.9 months, the recurrence-free and overall survival were estimated, and prognostic factors were evaluated. Results The mean interval between stent placement and surgery was 10.2 days. Primary anastomosis was possible in all patients. The mean postoperative length of hospitalization was 11.0 days. Bowel perforation was detected in six patients (13.0%). During the follow-up, ten patients (21.7%) developed recurrence; these included five of the six patients with bowel perforation. Bowel perforation had a significant effect on recurrence-free survival ( p = 0.010). Conclusion Single-stage surgery following fluoroscopic stent placement may be effective for treating malignant colorectal obstruction. Stent-related bowel perforation is a significant predictive factor for tumor recurrence.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Fluoroscopic Stent Placement as a Bridge to Surgery for Malignant Colorectal Obstruction: Short- and Long-Term Outcomes

Yun

Jung

2023

J Korean Soc Radiol

View full text Add to dashboard Cite

show abstract

“…Laparoscopic surgery is replacing laparotomy for the treat-ment of various types of abdominal surgery and offers several advantages over open surgery, including lower blood loss, fewer analgesic needs, fewer problems, quicker postoperative resuming, and a shorter hospital stay [1,2]. Since Semm [3] introduced laparoscopic appendectomy in 1983, its applicability has extended to include more complicated patients, such as complicated appendicitis [4,5].…”

Section: Introductionmentioning

confidence: 99%

A prospective randomized controlled study comparing patient-reported scar evaluation of single-port versus multiport laparoscopic appendectomy for acute appendicitis

Kim

Cho

Bae

et al. 2023

J Minim Invasive Surg

Self Cite

View full text Add to dashboard Cite

Purpose: This study aimed to compare the postoperative outcomes and patient-surveyed scar assessments of single-port laparoscopic appendectomy (SPLA) with the outcomes of multiport laparoscopic appendectomy (MPLA). Methods:Between August 2014 and November 2017, the prospective randomized study comprised 98 patients diagnosed with acute appendicitis and indicated for surgery. Fifty-one patients had MPLA and 47 patients received SPLA. The primary endpoint was the total score of Patient Scar Assessment Questionnaire (PSAQ) administered to patients 6 weeks after surgery.Results: SPLA involved a shorter median operative time than MPLA (47.5 minutes vs. 60.0 minutes, p = 0.02). There were no apparent differences in the time before diet tolerance, length of hospital stay, and postoperative complication. SPLA patients had shorter total incision length (2.0 cm vs. 2.5 cm, p < 0.01) and required fewer analgesics on the day of surgery than MPLA patients (p = 0.011). The PSAQ favored the SPLA approach, revealing significant differences in total score (48 vs. 55, p = 0.026), appearance (15 vs. 18, p = 0.002), and consciousness (8 vs. 10, p = 0.005), while satisfaction with appearance and symptoms scale did not (p = 0.162 and p = 0.690, respectively). Conclusion:The postoperative scar evaluated by the patient was better with SPLA than with MPLA, and patient satisfaction with the scar was comparable between the two techniques.

show abstract

“…It has been reported that it can be safely used in the elderly patients, in patients with obstruction following colonic stenting, and in patients with synchronous liver metastasis. 3,10,11 In the prospective multi-centre COLOR study (Colon cancer Laparoscopic or Open Resection), comparisons were made between the early results of laparoscopic and open colorectal surgery. In the group treated with laparoscopic surgery, advantages were seen such as less blood loss, shorter operating time, shorter length of stay in hospital, early return to work, and an earlier start of the intestinal functions.…”

mentioning

confidence: 99%

Laparoscopic versus Open Surgery in Colorectal Cancer: Is Laparoscopy Safe Enough?

2022

J Coll Physicians Surg Pak

View full text Add to dashboard Cite

show abstract

Long-term oncologic outcomes of laparoscopic versus open resection following stent insertion for obstructing colon cancer: a multi-center retrospective study

Cited by 14 publications

References 12 publications

Fluoroscopic Stent Placement as a Bridge to Surgery for Malignant Colorectal Obstruction: Short- and Long-Term Outcomes

Fluoroscopic Stent Placement as a Bridge to Surgery for Malignant Colorectal Obstruction: Short- and Long-Term Outcomes

A prospective randomized controlled study comparing patient-reported scar evaluation of single-port versus multiport laparoscopic appendectomy for acute appendicitis

Laparoscopic versus Open Surgery in Colorectal Cancer: Is Laparoscopy Safe Enough?

Contact Info

Product

Resources

About