Colonic stenting as a bridge to surgery for obstructive colon cancer: is it safe in the long term?
- 24.01.2022
Erschienen in:
- Verfasst von
- Seung Han Kim
- Se Hyun Jang
- Han Jo Jeon
- Hyuk Soon Choi
- Eun Sun Kim
- Bora Keum
- Yoon Tae Jeen
- Hoon Jai Chun
- Jin Kim
- Erschienen in
- Surgical Endoscopy | Ausgabe 6/2022
Abstract
Background
The placement of a self-expanding metal stent in patients with obstructive colon cancer is used as a bridge to surgery. However, due to a lack of consensus and insufficient data, the long-term oncologic outcomes after colonic SEMS placement remain unclear. We assessed the long-term oncologic outcomes and adverse effects of colonic stenting for malignant colonic obstruction.
Methods
We included 198 patients admitted to Korea University Anam Hospital between 2006 and 2014 for obstructive colon cancer, of whom 98 underwent SEMS placement as a bridge to surgery and 100 underwent direct surgery without stenting. The clinicopathologic characteristics, overall survival, and disease-free survival were compared.
Results
There were no significant differences in long-term oncologic outcomes between the two groups. The median follow-up durations were 61.55 and 58.64 months in the SEMS and DS groups, respectively. There were also no significant differences in the 5-year OS (77.4% vs. 74.2%, p = 0.691) and 5-year DFS (61.7% vs. 71.0%, p = 0.194) rates between the groups. However, the DS group had significantly more early postoperative complications (p = 0.002).
Conclusions
Colonic SEMS deployment as a bridge to surgery did not negatively affect long-term oncologic outcomes when compared with DS. In addition, colonic stenting decreased early postoperative complications and reduced the time for patients to return to normal daily activities.
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- Titel
- Colonic stenting as a bridge to surgery for obstructive colon cancer: is it safe in the long term?
- Verfasst von
-
Seung Han Kim
Se Hyun Jang
Han Jo Jeon
Hyuk Soon Choi
Eun Sun Kim
Bora Keum
Yoon Tae Jeen
Hoon Jai Chun
Jin Kim
- Publikationsdatum
- 24.01.2022
- Verlag
- Springer US
- Erschienen in
-
Surgical Endoscopy / Ausgabe 6/2022
Print ISSN: 0930-2794
Elektronische ISSN: 1432-2218 - DOI
- https://doi.org/10.1007/s00464-021-08789-0
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