Transtumoral endoprothesis in surgery of colorectal cancer, complicated with colonic obstruction: advantages and disadvantages. A review of the literature

A multifactorial analysis of the literature data on the treatment of acute tumor colonic obstruction using minimally invasive endoscopic surgical technology was carried out. On the basis of the analysis of special publications, the effectiveness of stenting of the large intestine, as a minimally invasive endoscopic method of decompression, is presented. Indications and contraindications for colorectal stenting, advantages and disadvantages, possibilities and prospects of endoscopic decompression of the colon are described in detail. It is postulated that stenting, used in acute tumor obstruction of the colon as a «bridge to surgery», being a worthy alternative to classical colostomy, allows an effective antegrade decompression of the colon and prepares the patient to surgical treatment with the performance of oncological justified primary radical and one-stage restorative operations in more optimal conditions with minimal risk. It is shown that in the late stages of the malignant process and in the presence of neresect-leucorrhoea colorectal cancer, as well as in the presence of absolute contraindications to a radical surgeon Colon stenting can serve as the final treatment for inoperable patients.

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A comparative analysis of the treatment of patients with acute colonic obstruction obstructive tumor genesis

I P Pavlov Russian Medical Biological Herald ◽

10.23888/pavlovj20173476-483 ◽

2017 ◽

Vol 25 (3) ◽

pp. 476-483 ◽

Cited By ~ 2

Author(s):

A. V. Shabunin ◽

D. N. Grekov ◽

A. V. Gugnin ◽

I. Yu. Korsheva

Keyword(s):

Retrospective Study ◽

Comparative Analysis ◽

Colonic Obstruction ◽

Hemodynamic Instability ◽

Metal Stents ◽

Control Group ◽

Endoscopic Stenting ◽

Bridge To Surgery ◽

Final Treatment ◽

Colorectal Stenting

In a retrospective study, a comparative analysis of treatment of 509 patients with acute obstructive colonic obstruction, tumor genesis, which are made of different kinds of surgery (n=384) and stenting of the tumor stricture self-expanding metal stents (n=79). For statistical comparison of results concluded that the endoscopic stenting accompanied by fewer complications, a low mortality, reduces hospitalization time as compared to conventional operations. Stenting may be applicable for continuous decompression in patients with malignant strictures as the final treatment, as well as to the time of decompression in potentially resectable patients as the first stage of treatment («bridge to surgery»). In a retrospective study evaluated the results of clinical observation 509 patients from 2010 to October 2016 were carried out surgery for malignant obstruction of the colon. The first group included 79 patients who performed endoscopic stenting. These patients are the main group. A control group, consisting of two sub-groups, made up of 384 patients whom underwent surgery were performed. First subset patients (330 patients) performed a resection of the left colon departments to form a single-barrel colostomy (Hartmann type of operation), right-sided hemicolectomy with the formation ileotransverzoanastomosis; the second subgroup (54 patients) were formed colonies or ileostomy due to hemodynamic instability and/or the presence of unresectable tumors. We describe the results of the comparison of colorectal stenting and colostomy. The conclusion about the prospects of the use of colorectal stenting in patients with acute colonic obstruction obstructive tumor genesis.

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Oncologic Outcomes of Self-Expandable Metallic Stent as a Bridge to Surgery and Safety and Feasibility of Minimally Invasive Surgery for Acute Malignant Colonic Obstruction

Annals of Surgical Oncology ◽

10.1245/s10434-019-07346-3 ◽

2019 ◽

Vol 26 (9) ◽

pp. 2787-2796 ◽

Cited By ~ 12

Author(s):

Seung Yoon Yang ◽

Youn Young Park ◽

Yoon Dae Han ◽

Min Soo Cho ◽

Hyuk Hur ◽

...

Keyword(s):

Minimally Invasive Surgery ◽

Minimally Invasive ◽

Invasive Surgery ◽

Colonic Obstruction ◽

Oncologic Outcomes ◽

Metallic Stent ◽

Bridge To Surgery ◽

Expandable Metallic Stent ◽

Malignant Colonic Obstruction

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A NEW THIN ENDOSCOPIC METHOD OF TRANSANAL DRAINAGE TUBE INSERTION FOR ACUTE COLONIC OBSTRUCTION DUE TO COLORECTAL CANCER

Digestive Endoscopy ◽

10.1111/j.1443-1661.2009.00901.x ◽

2009 ◽

Vol 21 (4) ◽

pp. 252-254 ◽

Cited By ~ 2

Author(s):

Ken Ohnita ◽

Saburo Shikuwa ◽

Hajime Isomoto ◽

Naoyuki Yamaguchi ◽

Kenta Okamoto ◽

...

Keyword(s):

Colorectal Cancer ◽

Colonic Obstruction ◽

Drainage Tube ◽

Tube Insertion ◽

Endoscopic Method ◽

Transanal Drainage Tube

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Colorectal stenting as a bridge to surgery for malignant colonic obstruction: evidence-based medicine

Experimental and Clinical Gastroenterology ◽

10.31146/1682-8658-ecg-164-4-59-65 ◽

2019 ◽

Vol 164 (4) ◽

pp. 59-65

Author(s):

A. S. Vodoleev ◽

◽

V. A. Duvanskiy ◽

I. I. Yarotskov ◽

◽

...

Keyword(s):

Evidence Based Medicine ◽

Colonic Obstruction ◽

Evidence Based ◽

Bridge To Surgery ◽

Malignant Colonic Obstruction ◽

Colorectal Stenting ◽

Based Medicine

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Colonic stenting as a bridge to surgery for obstructive colorectal cancer: advantages and disadvantages

Surgery Today ◽

10.1007/s00595-016-1333-5 ◽

2016 ◽

Vol 46 (11) ◽

pp. 1310-1317 ◽

Cited By ~ 17

Author(s):

Naotsugu Haraguchi ◽

Masataka Ikeda ◽

Masakazu Miyake ◽

Takuya Yamada ◽

Yuko Sakakibara ◽

...

Keyword(s):

Colorectal Cancer ◽

Bridge To Surgery ◽

Advantages And Disadvantages ◽

Obstructive Colorectal Cancer ◽

Colonic Stenting

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Colorectal Stenting in Malignant Large Bowel Obstruction: The Learning Curve

International Journal of Surgical Oncology ◽

10.1155/2011/917848 ◽

2011 ◽

Vol 2011 ◽

pp. 1-4 ◽

Cited By ~ 15

Author(s):

D. Williams ◽

R. Law ◽

A. M. Pullyblank

Keyword(s):

Colorectal Cancer ◽

Learning Curve ◽

Bowel Obstruction ◽

Case Series ◽

Large Bowel Obstruction ◽

Metal Stents ◽

Bridge To Surgery ◽

Success Rates ◽

Colorectal Stenting ◽

Colorectal Cancer Patients

Aim. Self-expanding metal stents (SEMSs) are increasingly used for the palliation of metastatic colorectal cancer and as a bridge to surgery for obstructing tumours. This case series analyses the learning curve and changes in practice of colorectal stenting over a three year period.Methods. A study of 40 patients who underwent placement of SEMS for the management of colorectal cancer. Patients spanned the learning curve of a single surgeon endoscopist.Results. Technical success rates increased from 82% initially, using an average of 1.7 stents per procedure, to a 94% success rate where all patients were stented using a single stent. There has been a change in practice from elective palliative stenting toward emergency preoperative stenting.Conclusion. There is a steep learning curve for the use of SEMS in the management of malignant colorectal bowel obstruction. We suggest that at least 20 cases are required for an operator to be considered experienced.

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Colorectal Stenting for Obstructive Colorectal Cancer as a Bridge to Surgery: Evaluations of Short-term Benefits

The Japanese Journal of Gastroenterological Surgery ◽

10.5833/jjgs.2015.0199 ◽

2016 ◽

Vol 49 (9) ◽

pp. 834-841 ◽

Cited By ~ 1

Author(s):

Yoritaka Nakano ◽

Hideo Terashima ◽

Kazuhiro Hiyama ◽

Yusaku Sumi ◽

Kenichirou Furukawa ◽

...

Keyword(s):

Colorectal Cancer ◽

Bridge To Surgery ◽

Short Term ◽

Obstructive Colorectal Cancer ◽

Colorectal Stenting

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Tu1433 Is Endoscopic Colorectal Stenting As a Bridge to Surgery Really Useful for For Obstructive Colorectal Cancer?

Gastrointestinal Endoscopy ◽

10.1016/j.gie.2014.02.879 ◽

2014 ◽

Vol 79 (5) ◽

pp. AB538

Author(s):

Young Shin Shin ◽

Hyung Wook Kim ◽

Dae Hwan Kang ◽

Cheol Woong Choi ◽

Su Bum Park ◽

...

Keyword(s):

Colorectal Cancer ◽

Bridge To Surgery ◽

Obstructive Colorectal Cancer ◽

Colorectal Stenting

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Minimally Invasive Methods of Temporary Decompression of the Colon with Obturation Colonic Obstruction: a Literature Review

Russian Sklifosovsky Journal Emergency Medical Care ◽

10.23934/2223-9022-2019-8-1-74-80 ◽

2019 ◽

Vol 8 (1) ◽

pp. 74-80

Author(s):

D. I. Petrov ◽

P. A. Yartsev ◽

D. A. Blagovestnov ◽

V. D. Levitsky ◽

B. T. Tsuleiskiri ◽

...

Keyword(s):

Colorectal Cancer ◽

Surgical Treatment ◽

Minimally Invasive ◽

Radical Surgery ◽

Colonic Obstruction ◽

Radical Operation ◽

Common Complication ◽

Oncological Diseases ◽

Complications And Mortality ◽

Minimally Invasive Methods

Colorectal cancer is one of the most common oncological diseases. In 40–60% of cases, patients with colorectal cancer enter general surgical hospitals with complications. Obstructive colonic obstruction is the most common complication of colorectal cancer. The radical operation against the background of colonic obstruction is associated with a high postoperative lethality, ranging from 5% to 34%. To improve the results of surgical treatment of patients with colorectal cancer complicated by obturation colonic obstruction, various minimally invasive methods of temporary decompression have been proposed, followed by radical surgery, which signifcantly reduce the risk of complications and mortality.

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