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Article: Self-Expanding Metallic Stent as a Bridge to Surgery Versus Emergency Resection for Obstructing Left-Sided Colorectal Cancer: A Case-Matched Study

TitleSelf-Expanding Metallic Stent as a Bridge to Surgery Versus Emergency Resection for Obstructing Left-Sided Colorectal Cancer: A Case-Matched Study
Authors
KeywordsColorectal cancer
metallic stent
Issue Date2006
PublisherSpringer New York LLC.
Citation
Journal Of Gastrointestinal Surgery, 2006, v. 10 n. 6, p. 798-803 How to Cite?
AbstractThis study aimed to compare the outcomes of patients who suffered from obstructing left-sided colorectal cancer, treated with self-expanding metallic stent (SEMS) as a bridge to surgery, with those who underwent emergency operation. Twenty patients who had acute obstruction due to left-sided colorectal cancer underwent surgical resection after insertion of SEMS (group I) were matched to 40 patients with emergency colonic resection (group II). The two groups were compared for the incidence of primary anastomosis, stoma rate, hospital stay, duration of intensive care, postoperative morbidity, and mortality. Both groups had similar preoperative comorbidity and stage of disease, but the tumors in group I were more distally located (P < 0.001). In group I, one patient developed colon perforation and required Hartmann's operation. All the other patients underwent elective operation with primary anastomosis. In group II, primary anastomosis was performed in 29 patients (72.5%; P = 0.047). The operative mortality of group I and group II was 5% and 12.5%, respectively (P = 0.653). Significantly shorter median postoperative hospital stay and median stay in the intensive care unit (ICU) were observed in group I (9 days [range, 5-39 days] vs. 12 days [range, 8-49 days], P = 0.015 and 0 day [range, 0-17 days] vs. 0.5 day [range, 0-18 days], P = 0.022, respectively). There were no differences in hospital mortality (P = 0.653) or 30-day mortality (P = 0.653). Both groups had similar reoperation rates, surgical complications, and medical complications. When compared with emergency resection, insertion of SEMS as a bridge to surgery for obstructing left-sided colorectal cancer is associated with a higher rate of primary anastomosis as well as a better outcome in terms of hospital stay and stay in the ICU. The wider application of this treatment option for obstructing colorectal cancer warranted further studies. © 2006 The Society for Surgery of the Alimentary Tract.
Persistent Identifierhttp://hdl.handle.net/10722/83472
ISSN
2015 Impact Factor: 2.807
2015 SCImago Journal Rankings: 1.640
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorNg, KCen_HK
dc.contributor.authorLaw, WLen_HK
dc.contributor.authorLee, YMen_HK
dc.contributor.authorChoi, HKen_HK
dc.contributor.authorSeto, CLen_HK
dc.contributor.authorHo, JWCen_HK
dc.date.accessioned2010-09-06T08:41:27Z-
dc.date.available2010-09-06T08:41:27Z-
dc.date.issued2006en_HK
dc.identifier.citationJournal Of Gastrointestinal Surgery, 2006, v. 10 n. 6, p. 798-803en_HK
dc.identifier.issn1091-255Xen_HK
dc.identifier.urihttp://hdl.handle.net/10722/83472-
dc.description.abstractThis study aimed to compare the outcomes of patients who suffered from obstructing left-sided colorectal cancer, treated with self-expanding metallic stent (SEMS) as a bridge to surgery, with those who underwent emergency operation. Twenty patients who had acute obstruction due to left-sided colorectal cancer underwent surgical resection after insertion of SEMS (group I) were matched to 40 patients with emergency colonic resection (group II). The two groups were compared for the incidence of primary anastomosis, stoma rate, hospital stay, duration of intensive care, postoperative morbidity, and mortality. Both groups had similar preoperative comorbidity and stage of disease, but the tumors in group I were more distally located (P < 0.001). In group I, one patient developed colon perforation and required Hartmann's operation. All the other patients underwent elective operation with primary anastomosis. In group II, primary anastomosis was performed in 29 patients (72.5%; P = 0.047). The operative mortality of group I and group II was 5% and 12.5%, respectively (P = 0.653). Significantly shorter median postoperative hospital stay and median stay in the intensive care unit (ICU) were observed in group I (9 days [range, 5-39 days] vs. 12 days [range, 8-49 days], P = 0.015 and 0 day [range, 0-17 days] vs. 0.5 day [range, 0-18 days], P = 0.022, respectively). There were no differences in hospital mortality (P = 0.653) or 30-day mortality (P = 0.653). Both groups had similar reoperation rates, surgical complications, and medical complications. When compared with emergency resection, insertion of SEMS as a bridge to surgery for obstructing left-sided colorectal cancer is associated with a higher rate of primary anastomosis as well as a better outcome in terms of hospital stay and stay in the ICU. The wider application of this treatment option for obstructing colorectal cancer warranted further studies. © 2006 The Society for Surgery of the Alimentary Tract.en_HK
dc.languageengen_HK
dc.publisherSpringer New York LLC.en_HK
dc.relation.ispartofJournal of Gastrointestinal Surgeryen_HK
dc.subjectColorectal canceren_HK
dc.subjectmetallic stenten_HK
dc.titleSelf-Expanding Metallic Stent as a Bridge to Surgery Versus Emergency Resection for Obstructing Left-Sided Colorectal Cancer: A Case-Matched Studyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1091-255X&volume=10&issue=6&spage=798&epage=803&date=2006&atitle=Self-expanding+metallic+stent+as+a+bridge+to+surgery+versus+emergency+resection+for+obstructing+left-sided+colorectal+cancer:+a+case-matched+studyen_HK
dc.identifier.emailLaw, WL: lawwl@hkucc.hku.hken_HK
dc.identifier.authorityLaw, WL=rp00436en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.gassur.2006.02.006en_HK
dc.identifier.pmid16769535-
dc.identifier.scopuseid_2-s2.0-33744905007en_HK
dc.identifier.hkuros116711en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-33744905007&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume10en_HK
dc.identifier.issue6en_HK
dc.identifier.spage798en_HK
dc.identifier.epage803en_HK
dc.identifier.isiWOS:000238558400003-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridNg, KC=36898900400en_HK
dc.identifier.scopusauthoridLaw, WL=7103147867en_HK
dc.identifier.scopusauthoridLee, YM=8521465600en_HK
dc.identifier.scopusauthoridChoi, HK=7404339913en_HK
dc.identifier.scopusauthoridSeto, CL=7004637406en_HK
dc.identifier.scopusauthoridHo, JWC=7402649983en_HK

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