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Conference Paper: Self-expanding metallic stent as a bridge to surgery versus emergency operation for obstructing left sided colorectal cancer: a case-matched study

TitleSelf-expanding metallic stent as a bridge to surgery versus emergency operation for obstructing left sided colorectal cancer: a case-matched study
Authors
Issue Date2005
PublisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/gastro
Citation
Digestive Disease Week and the106th Annual Meeting of the American Gastroenterological Association (AGA), Chicago, USA, 14-19 May 2005. In Gastroenterology, 2005, v. 128 n. 4, Suppl. 2, p. A799, abstract no. M1984 How to Cite?
AbstractIntroduction: This 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. Methods: Twenty patients, who had acute obstruction due to malignant left-sided colorectal cancer, underwent surgical resection after insertion of SEMS (group I) were matched to forty 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 (ICU stay), post-operative morbidity and mortality. Results: Both groups had similar age, pre-operative co-morbidity and stage of disease, but the tumours 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 (95%). In group II, primary anastomosis was performed in 29 patients (72.5%). The difference in the incidence of primary anastomosis was significant (p0.047). The operative mortality of group I and group II were 5% and 12.5%, respectively (p0.653). The median postoperative hospital stays for group I and group II were 8 days (range: 4-33days) vs. 10 days (range: 5-48 days), respectively (p0.017). Four patients (20%) in group I and 20 patients in group II (50%) required ICU stay after the operation (p0.029). The re-operation rate, surgical complications and medical complications, however, did not show any statistical differences between the two groups. Conclusion: 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 should be further investigated.
Persistent Identifierhttp://hdl.handle.net/10722/83808
ISSN
2015 Impact Factor: 18.187
2015 SCImago Journal Rankings: 7.170

 

DC FieldValueLanguage
dc.contributor.authorLaw, WLen_HK
dc.contributor.authorNg, KCen_HK
dc.contributor.authorLee, YMen_HK
dc.contributor.authorHo, JWCen_HK
dc.contributor.authorChoi, HKen_HK
dc.contributor.authorSeto, CLen_HK
dc.date.accessioned2010-09-06T08:45:28Z-
dc.date.available2010-09-06T08:45:28Z-
dc.date.issued2005en_HK
dc.identifier.citationDigestive Disease Week and the106th Annual Meeting of the American Gastroenterological Association (AGA), Chicago, USA, 14-19 May 2005. In Gastroenterology, 2005, v. 128 n. 4, Suppl. 2, p. A799, abstract no. M1984en_HK
dc.identifier.issn0016-5085en_HK
dc.identifier.urihttp://hdl.handle.net/10722/83808-
dc.description.abstractIntroduction: This 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. Methods: Twenty patients, who had acute obstruction due to malignant left-sided colorectal cancer, underwent surgical resection after insertion of SEMS (group I) were matched to forty 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 (ICU stay), post-operative morbidity and mortality. Results: Both groups had similar age, pre-operative co-morbidity and stage of disease, but the tumours 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 (95%). In group II, primary anastomosis was performed in 29 patients (72.5%). The difference in the incidence of primary anastomosis was significant (p0.047). The operative mortality of group I and group II were 5% and 12.5%, respectively (p0.653). The median postoperative hospital stays for group I and group II were 8 days (range: 4-33days) vs. 10 days (range: 5-48 days), respectively (p0.017). Four patients (20%) in group I and 20 patients in group II (50%) required ICU stay after the operation (p0.029). The re-operation rate, surgical complications and medical complications, however, did not show any statistical differences between the two groups. Conclusion: 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 should be further investigated.-
dc.languageengen_HK
dc.publisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/gastroen_HK
dc.relation.ispartofGastroenterologyen_HK
dc.titleSelf-expanding metallic stent as a bridge to surgery versus emergency operation for obstructing left sided colorectal cancer: a case-matched studyen_HK
dc.typeConference_Paperen_HK
dc.identifier.emailLaw, WL: lawwl@hkucc.hku.hken_HK
dc.identifier.emailHo, JWC: judyho@HKUCC.hku.hken_HK
dc.identifier.authorityLaw, WL=rp00436en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1053/j.gastro.2005.04.003-
dc.identifier.hkuros99350en_HK
dc.identifier.hkuros99347-
dc.identifier.volume128-
dc.identifier.issue4, Suppl. 2-
dc.identifier.spageA799, abstract no. M1984-
dc.identifier.epageA799, abstract no. M1984-
dc.publisher.placeUnited States-
dc.description.otherDigestive Disease Week and the106th Annual Meeting of the American Gastroenterological Association (AGA), Chicago, USA, 14-19 May 2005. In Gastroenterology, 2005, v. 128 n. 4, Suppl. 2, p. A799, abstract no. M1984-

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