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Benefits of using a self-expandable metallic stent as a bridge to surgery for right- and left-sided obstructive colorectal cancers.
Morita, Shunji; Yamamoto, Kansuke; Ogawa, Atsuhiro; Naito, Atsushi; Mizuno, Hitoshi; Yoshioka, Shinichi; Matsumura, Tae; Ohta, Katsuya; Suzuki, Rei; Matsuda, Chu; Hata, Taishi; Nishimura, Junichi; Mizushima, Tsunekazu; Doki, Yuichiro; Mori, Masaki.
Afiliación
  • Morita S; Department of Surgery, Toyonaka Municipal Hospital, Shibahara 4-14-1, Toyonaka, Osaka, 560-8565, Japan. shun4morita@gmail.com.
  • Yamamoto K; Department of Surgery, Bell Land General Hospital, Higashiyama 500-3, Naka-ku, Sakai, Osaka, 599-8247, Japan.
  • Ogawa A; Department of Surgery, Tane General Hospital, Kujyominami 1-12-21, Nishi-ku, Osaka, Osaka, 550-0025, Japan.
  • Naito A; Department of Surgery, Kansai Rosai Hospital, Inabaso 3-1-69, Amagasaki, Hyogo, 660-8511, Japan.
  • Mizuno H; Department of Surgery, Nissay Hospital, Itachibori 6-3-8, Nishi-ku, Osaka, Osaka, 550-0012, Japan.
  • Yoshioka S; Department of Surgery, Nishinomiya Municipal Central Hospital, Hayashida-cyo 8-24, Nishinomiya, Hyogo, 663-8014, Japan.
  • Matsumura T; Department of Surgery, Osaka Rosai Hospital, Nakasone-cyo 1179-3, Kita-ku, Sakai, Osaka, 591-8025, Japan.
  • Ohta K; Department of Gastroenterological Surgery, Higashiosaka City Medical Center, Nishiiwata 3-4-5, Higashiosaka, Osaka, 578-8588, Japan.
  • Suzuki R; Department of Surgery, Itami City Hospital, Koyaike 1-100, Itami, Hyogo, 664-8540, Japan.
  • Matsuda C; Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Yamadaoka 2-2, Suita, Osaka, 565-0871, Japan.
  • Hata T; Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Yamadaoka 2-2, Suita, Osaka, 565-0871, Japan.
  • Nishimura J; Department of Gastrointestinal Surgery, Osaka International Cancer Institute, 3-1-69 Otemae, Chuo-ku, Osaka, 541-8567, Japan.
  • Mizushima T; Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Yamadaoka 2-2, Suita, Osaka, 565-0871, Japan.
  • Doki Y; Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Yamadaoka 2-2, Suita, Osaka, 565-0871, Japan.
  • Mori M; Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Yamadaoka 2-2, Suita, Osaka, 565-0871, Japan.
Surg Today ; 49(1): 32-37, 2019 Jan.
Article en En | MEDLINE | ID: mdl-30105529
PURPOSE: To assess the benefit of placing a self-expandable metallic stent (SEMS) as a bridge to surgery for obstructive colorectal cancer (OCRC) according to the tumor site. METHODS: The subjects of this retrospective multicenter cohort study were 201 patients with OCRC, but without initial bowel perforation, who were treated either with a self-expandable metallic stent (SEMS) as a bridge to surgery (n = 109) or with primary surgery (PS; n = 92) between 2014 and 2016. The cohort consisted of 68 patients with right-sided and 133 left-sided OCRC. We evaluated the short-term surgical outcomes for each side. RESULTS: The SEMS group of patients with left-sided OCRC had significantly higher rates of primary resection, primary resection with anastomosis, stoma-free surgery, and laparoscopic surgery than the PS group of patients with left-sided OCRC. In contrast, the SEMS group of patients with right-sided OCRC had only a significantly higher rate of laparoscopic surgery than the PS group of patients with right-sided OCRC, but they had a longer overall hospital stay. There were no significant differences between the two treatment groups in the rates of morbidity or mortality, for either right-sided or left-sided OCRC. CONCLUSION: The benefit of a SEMS as a bridge to surgery may be less for right-sided than for left-sided obstructions in colon cancer patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Colorrectales / Stents Metálicos Autoexpandibles / Obstrucción Intestinal Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Surg Today Año: 2019 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Colorrectales / Stents Metálicos Autoexpandibles / Obstrucción Intestinal Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Surg Today Año: 2019 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón