Oncologic safety of stent as bridge to surgery compared to emergency radical surgery for left-sided colorectal cancer obstruction

2013 ◽  
Vol 27 (9) ◽  
pp. 3121-3128 ◽  
Author(s):  
Hun Jin Kim ◽  
Jung Wook Huh ◽  
Wu Seong Kang ◽  
Chang Hyun Kim ◽  
Sang Woo Lim ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Radical Surgery ◽  
Bridge To Surgery

Endoscopic stenting as bridge-to-surgery (BTS) in left-sided obstructing colorectal cancer: Experience with conformable stents

2016 ◽  
Vol 40 (5) ◽  
pp. 638-644 ◽  
Author(s):  
Andrea Parodi ◽  
Antonella De Ceglie ◽  
Luca De Luca ◽  
Rita Conigliaro ◽  
Riccardo Naspetti ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Endoscopic Stenting ◽  
Bridge To Surgery ◽  
Cancer Experience

A prospective randomized study of follow-up after radical surgery for colorectal cancer

1997 ◽  
Vol 84 (5) ◽  
pp. 666-669 ◽  
Author(s):  
B. J. Kjeldsen ◽  
O. Kronborg ◽  
C. Fenger ◽  
O. D. Jørgensen
Keyword(s):  
Colorectal Cancer ◽  
Radical Surgery ◽  
Randomized Study ◽  
Prospective Randomized Study

Less intensive surveillance after radical surgery for stage I–III colorectal cancer by focusing on the doubling time of recurrence

Surgery Today ◽  
2020 ◽  
Author(s):  
Hiroaki Miyake ◽  
Kazushige Kawai ◽  
Hiroaki Nozawa ◽  
Kazuhito Sasaki ◽  
Manabu Kaneko ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Doubling Time ◽  
Radical Surgery ◽  
Stage I ◽  
Intensive Surveillance

scholarly journals Bridge to surgery using a self-expandable metallic stent for stages II–III obstructive colorectal cancer

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Katsuya Ohta ◽  
Masakazu Ikenaga ◽  
Masami Ueda ◽  
Kiyotsugu Iede ◽  
Yujiro Tsuda ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Metallic Stent ◽  
Bridge To Surgery ◽  
Obstructive Colorectal Cancer ◽  
Expandable Metallic Stent

scholarly journals Comparison of safety between self-expanding metal stents as a bridge to surgery and emergency surgery based on pathology: a meta-analysis

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Yang Hu ◽  
Jiajun Fan ◽  
Yifan Xv ◽  
Yingjie Hu ◽  
Yuan Ding ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Emergency Surgery ◽  
Meta Analysis ◽  
Metal Stents ◽  
Bridge To Surgery ◽  
Sems Group ◽  
Obstructive Colorectal Cancer ◽  
Significant Difference ◽  
Self Expanding Metal Stents

Abstract Background To explore the long-term oncological safety of using self-expanding metal stents (SEMS) as a bridge to surgery for acute obstructive colorectal cancer by comparing the pathological results of emergency surgery (ES) with elective surgery after the placement of SEMS. Methods Studies comparing SEMS as a bridge to surgery with emergency surgery for acute obstructive colorectal cancer were retrieved through the databases of Pubmed, Embase, and Cochrane libraries, and a meta-analysis was conducted based on the pathological results of the two treatments. Risk ratios (OR) or mean differences (MD) with 95% confidence intervals (CI) were calculated for the outcomes under random effects model. Results A total of 27 studies were included, including 3 randomized controlled studies, 2 prospective studies, and 22 retrospective studies, with a total of 3737 patients. The presence of perineural invasion (RR = 0.58, 95% CI 0.48, 0.71, P < 0.00001), lymphovascular invasion (RR = 0.68, 95% CI 0.47, 0.99, P = 0.004) and vascular invasion (RR = 0.66, 95% CI 0.45, 0.99, P = 0.04) in SEMS group were significantly higher than those in ES group, and there was no significant difference in lymphatic invasion (RR = 0.92, 95% CI 0.77, 1.09, P = 0.33). The number of lymph nodes harvested in SEMS group was significantly higher than that in ES group (MD = − 3.18, 95% CI − 4.47, − 1.90, P < 0.00001). While no significant difference was found in the number of positive lymph nodes (MD = − 0.11, 95% CI − 0.63, 0.42, P = 0.69) and N stage [N0 (RR = 1.03, 95% CI 0.92, 1.15, P = 0.60), N1 (RR = 0.99, 95% CI 0.87, 1.14, P = 0.91), N2 (RR = 0.94, 95% CI 0.77, 1.15, P = 0.53)]. Conclusions SEMS implantation in patients with acute malignant obstructive colorectal cancer may lead to an increase in adverse tumor pathological characteristics, and these characteristics are mostly related to the poor prognosis of colorectal cancer. Although the adverse effect of SEMS on long-term survival has not been demonstrated, their adverse effects cannot be ignored. The use of SEMS as the preferred treatment for patients with resectable obstructive colorectal cancer remains to be carefully weighed, especially when patients are young or the surgical risk is not very high.

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