Oncologic safety of colonic stenting as a bridge to surgery in left-sided malignant colonic obstruction: Current evidence and prospects

Pattarajierapan, Sukit; Sukphol, Nattapanee; Junmitsakul, Karuna; Khomvilai, Supakij

doi:10.5306/wjco.v13.i12.943

Cited by 4 publications

(1 citation statement)

References 92 publications

(97 reference statements)

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“…In particular, bevacizumab-based chemotherapy is associated with a high risk of GI perforation[ 57 ]. It has also been claimed that perforation may result in further cancer recurrence and peritoneal dissemination[ 58 , 59 ]. In the present case, curative resection of colonic metastasis was achieved 18 d after SEMS implantation, in which the SEMS allowed careful evaluation of the tumor status and improved the patient’s general condition.…”

Section: Discussionmentioning

confidence: 99%

Successful resection of colonic metastasis of lung cancer after colonic stent placement: A case report and review of the literature

Nakayama¹,

Yamaguchi²,

Inoue³

et al. 2023

World J Gastrointest Surg

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Obstructive jaundice (OJ) is a common problem in daily clinical practice. However, completely understanding the pathophysiological changes in OJ remains a challenge for planning current and future management. The effects of OJ are widespread, affecting the biliary tree, hepatic cells, liver function, and causing systemic complications. The lack of bile in the intestine, destruction of the intestinal mucosal barrier, and increased absorption of endotoxins can lead to endotoxemia, production of proinflammatory cytokines, and induce systemic inflammatory response syndrome, ultimately leading to multiple organ dysfunction syndrome. Proper management of OJ includes adequate water supply and electrolyte replacement, nutritional support, preventive antibiotics, pain relief, and itching relief. The surgical treatment of OJ depends on the cause, location, and severity of the obstruction. Biliary drainage, surgery, and endoscopic intervention are potential treatment options depending on the patient's condition. In addition to modern medical treatments, Traditional Chinese medicine may offer therapeutic benefits for OJ. A comprehensive search was conducted on PubMed for relevant articles published up to August 1970. This review discusses in detail the pathophysiological changes associated with OJ and presents effective strategies for managing the condition.

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Section: Discussionmentioning

confidence: 99%

Successful resection of colonic metastasis of lung cancer after colonic stent placement: A case report and review of the literature

Nakayama¹,

Yamaguchi²,

Inoue³

et al. 2023

World J Gastrointest Surg

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Stenting as bridge to surgery versus upfront emergency resection for non-metastatic left sided obstructing colorectal cancer: risk of peritoneal recurrence and long-term outcomes

Lin,

Chok,

Seow-En

et al. 2024

Surg Endosc

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Feasibility and outcomes of robotic sphincter-preserving surgery for rectal cancer after neoadjuvant treatment in patients with preexisting colostomy

Nozawa,

Sakamoto,

Murono

et al. 2024

Tech Coloproctol

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Background Diverting colostomy followed by neoadjuvant treatment is a treatment of choice for obstructive rectal cancer. Such patients may be treated via a robotic approach with several advantages over conventional laparoscopic surgery. Conversely, the existing stoma may interfere with the optimal trocar position and thus affect the quality of robotic surgery. Moreover, the console surgeon does not face the patient, which may endanger the stoma. Methods Patients with rectal cancer who underwent sphincter-preserving surgery were retrospectively investigated using a robotic platform after neoadjuvant treatment at our hospital. Based on pretreatment stoma creation, patients were divided into the NS (those without a stoma) and S groups (patients with a stoma). Baseline characteristics, types of neoadjuvant treatment, short-term surgical outcomes, postoperative anorectal manometric data, and survival were compared between the groups. Results The NS and S groups comprised 65 and 9 patients, respectively. Conversion to laparotomy was required in three patients in the NS group. The S group required a longer console time than the NS group (median: 367 vs. 253 min, respectively, p = 0.038); however, no difference was observed in the total operative time (p = 0.15) and blood loss (p = 0.70). Postoperative complication rates, anorectal function, and oncological outcomes were similar between the groups. Conclusions Although console time was longer in patients with a stoma, robotic surgery could be performed safely like in those without a stoma after neoadjuvant treatment.

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Oncologic safety of colonic stenting as a bridge to surgery in left-sided malignant colonic obstruction: Current evidence and prospects

Cited by 4 publications

References 92 publications

Successful resection of colonic metastasis of lung cancer after colonic stent placement: A case report and review of the literature

Successful resection of colonic metastasis of lung cancer after colonic stent placement: A case report and review of the literature

Stenting as bridge to surgery versus upfront emergency resection for non-metastatic left sided obstructing colorectal cancer: risk of peritoneal recurrence and long-term outcomes

Feasibility and outcomes of robotic sphincter-preserving surgery for rectal cancer after neoadjuvant treatment in patients with preexisting colostomy

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