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Conference Paper: Long-term outcomes of stenting as a bridge to surgery for acute left-sided malignant colonic obstruction
Title | Long-term outcomes of stenting as a bridge to surgery for acute left-sided malignant colonic obstruction |
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Authors | |
Keywords | Medical sciences Oncology medical sciences Radiology and nuclear medicine pharmacy and pharmacology biology Cytology and histology |
Issue Date | 2012 |
Publisher | American Society of Clinical Oncology. The Journal's web site is located at http://www.jco.org/ |
Citation | The 2012 Annual Meeting of the American Society of Clinical Oncology® (ASCO 2012), Chicago, IL., 1-5 June 2012. In Journal of Clinical Oncology, 2012, v. 30 n. 15 suppl., abstract no. e14032 How to Cite? |
Abstract | BACKGROUND: Stenting as a bridge to surgery has been increasingly applied in cases of acute left-sided colonic obstruction. This study aims to evaluate both the short and long-term outcomes associated with colonic stenting as a bridge to surgery in patients with obstructing adenocarcinoma of the colon. METHODS: Patients with potentially curable acute left-sided colonic obstruction treated with stenting as a bridge to surgery (28) or with emergency surgical resection (39) from January 1998 to December 2008 were identified using a prospectively maintained database. Short-term data on post-operative mortality, morbidity, necessity of intensive care, and length of hospital stay were compared. Disease-free and overall survival data were also analyzed. RESULTS: Patients within the two study arms had similar demographic profiles. Patients receiving preoperative stenting had a higher likelihood of a laparoscopic resection (p<0.001). Further, the emergency surgery group had a higher rate of post-operative complications (p=0.024), rate of ICU admission (p=0.013), and longer total length of stay (9 vs. 12 days, p=0.001). With a median follow-up of 26.5 and 31.3 months for the stenting and surgical resection groups respectively, there was no difference in overall and disease-free survival (overall survival = 30 vs. 31 months, p=0.858; DFS = 13 vs. 12 months, p=0.989). As well, there was no difference in the rate of systemic recurrences (8 vs. 13, p=0.991). CONCLUSIONS: Stenting as a bridge to surgery is a safe treatment strategy in the management of patients with acute left-sided colonic obstruction with improved short-term outcomes and comparable long-term oncologic results. |
Description | This abstract will not be presented at the 2012 ASCO Annual Meeting but has been published in conjunction with the meeting - http://meetinglibrary.asco.org/content/94926-114 |
Persistent Identifier | http://hdl.handle.net/10722/153148 |
ISSN | 2021 Impact Factor: 50.717 2020 SCImago Journal Rankings: 10.482 |
DC Field | Value | Language |
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dc.contributor.author | Quereshy, FA | en_US |
dc.contributor.author | Poon, JTC | en_US |
dc.contributor.author | Law, WL | en_US |
dc.date.accessioned | 2012-07-16T09:58:07Z | - |
dc.date.available | 2012-07-16T09:58:07Z | - |
dc.date.issued | 2012 | en_US |
dc.identifier.citation | The 2012 Annual Meeting of the American Society of Clinical Oncology® (ASCO 2012), Chicago, IL., 1-5 June 2012. In Journal of Clinical Oncology, 2012, v. 30 n. 15 suppl., abstract no. e14032 | en_US |
dc.identifier.issn | 0732-183X | - |
dc.identifier.uri | http://hdl.handle.net/10722/153148 | - |
dc.description | This abstract will not be presented at the 2012 ASCO Annual Meeting but has been published in conjunction with the meeting - http://meetinglibrary.asco.org/content/94926-114 | - |
dc.description.abstract | BACKGROUND: Stenting as a bridge to surgery has been increasingly applied in cases of acute left-sided colonic obstruction. This study aims to evaluate both the short and long-term outcomes associated with colonic stenting as a bridge to surgery in patients with obstructing adenocarcinoma of the colon. METHODS: Patients with potentially curable acute left-sided colonic obstruction treated with stenting as a bridge to surgery (28) or with emergency surgical resection (39) from January 1998 to December 2008 were identified using a prospectively maintained database. Short-term data on post-operative mortality, morbidity, necessity of intensive care, and length of hospital stay were compared. Disease-free and overall survival data were also analyzed. RESULTS: Patients within the two study arms had similar demographic profiles. Patients receiving preoperative stenting had a higher likelihood of a laparoscopic resection (p<0.001). Further, the emergency surgery group had a higher rate of post-operative complications (p=0.024), rate of ICU admission (p=0.013), and longer total length of stay (9 vs. 12 days, p=0.001). With a median follow-up of 26.5 and 31.3 months for the stenting and surgical resection groups respectively, there was no difference in overall and disease-free survival (overall survival = 30 vs. 31 months, p=0.858; DFS = 13 vs. 12 months, p=0.989). As well, there was no difference in the rate of systemic recurrences (8 vs. 13, p=0.991). CONCLUSIONS: Stenting as a bridge to surgery is a safe treatment strategy in the management of patients with acute left-sided colonic obstruction with improved short-term outcomes and comparable long-term oncologic results. | - |
dc.language | eng | en_US |
dc.publisher | American Society of Clinical Oncology. The Journal's web site is located at http://www.jco.org/ | - |
dc.relation.ispartof | Journal of Clinical Oncology | en_US |
dc.subject | Medical sciences | - |
dc.subject | Oncology medical sciences | - |
dc.subject | Radiology and nuclear medicine pharmacy and pharmacology biology | - |
dc.subject | Cytology and histology | - |
dc.title | Long-term outcomes of stenting as a bridge to surgery for acute left-sided malignant colonic obstruction | en_US |
dc.type | Conference_Paper | en_US |
dc.identifier.email | Poon, JTC: tcjensen@hkucc.hku.hk | en_US |
dc.identifier.email | Law, WL: lawwl@hkucc.hku.hk | en_US |
dc.identifier.authority | Poon, JTC=rp01603 | en_US |
dc.identifier.authority | Law, WL=rp00436 | en_US |
dc.description.nature | link_to_OA_fulltext | - |
dc.identifier.hkuros | 200999 | en_US |
dc.identifier.volume | 30 | - |
dc.identifier.issue | 15 suppl. | - |
dc.publisher.place | United States | - |
dc.identifier.issnl | 0732-183X | - |