The Long-Term Recurrence Rate and Survival of Obstructive Left-Sided Colon Cancer Patients: A Stent as A Bridge to Surgery Versus Emergency Surgery

2021 ◽  
Vol 2 (4) ◽  
Author(s):  
Araceli Ballestero Pérez
Author(s):  
Araceli Ballestero Pérez ◽  
Juan Carlos García Pérez ◽  
Alfonso Muriel ◽  
Javier Die Trill ◽  
Eduardo Lobo

2011 ◽  
Vol 73 (4) ◽  
pp. AB218
Author(s):  
Francisco Igea ◽  
Sergio Maestro ◽  
Rocio Silvana Castillo ◽  
Antonio Perez Millan ◽  
Henar Nuñez ◽  
...  

2019 ◽  
Vol 34 (11) ◽  
pp. 1827-1838 ◽  
Author(s):  
Yinghao Cao ◽  
Junnan Gu ◽  
Shenghe Deng ◽  
Jiang Li ◽  
Ke Wu ◽  
...  

Abstract Purpose To explore the long-term oncological results of self-expanding metal stents (SEMS) as a surgical transition compared with those of simple emergency surgery. Methods A systematic review of studies involving long-term tumour outcomes comparing SEMS with emergency surgery was conducted. All studies included information on 3-year and 5-year survival rates, 3-year and 5-year disease-free survival (DFS) rates, and local and overall recurrence rates; the results were expressed as odds ratios. Results Overall, 24 articles and 2508 patients were included, including 5 randomised controlled trials, 3 prospective studies, and 16 retrospective studies. The 3-year survival rate (odds ratio (OR) = 0.88, 95% confidence interval (CI) 0.69–1.12, P = 0.05), 5-year survival rate (OR = 0.91, 95% CI 0.70–1.17, P = 0.67), 3-year DFS rate (OR = 1.14, 95% CI 0.91–1.42, P = 0.65), 5-year DFS rate (OR = 1.35, 95% CI 0.91–2.02, P = 0.17), overall recurrence rate (OR 1.04, 95% CI 0.77–1.41, P = 0.14), and local recurrence rate (OR 1.37, 95% CI 0.84–2.23, P = 0.92) were determined. There was no significant difference between the randomised and observational studies in the subgroup analysis, and the 5-year survival rate was higher in studies with a stent placement success rate of ≥ 95%. Conclusion SEMS implantation was a viable alternative in malignant left colon obstruction as a transition to surgery; its long-term survival results, including 5-year DFS and overall survival, were equivalent to those of emergent surgery.


2004 ◽  
Vol 171 (4S) ◽  
pp. 503-503
Author(s):  
Roger M. Mueller ◽  
Bernard Descoeudres ◽  
Werner W. Hochreiter ◽  
Urs E. Studer ◽  
Hansjoerg Danuser

2007 ◽  
Vol 35 (3) ◽  
pp. 189-192 ◽  
Author(s):  
Oliver Zernial ◽  
Ingo N. Springer ◽  
Patrick Warnke ◽  
Franz Härle ◽  
Christian Risick ◽  
...  

2021 ◽  
Author(s):  
Øystein Høydahl ◽  
Tom-Harald Edna ◽  
Athanasios Xanthoulis ◽  
Stian Lydersen ◽  
Birger Henning Endreseth

Abstract Background Few studies have addressed colon cancer surgery outcomes in an unselected cohort of octogenarian patients. The present study aimed to evaluate the relative survival of octogenarian patients after a major resection of colon cancer with a curative intent. Methods All patients diagnosed with colon cancer at Levanger Hospital between 1980 and 2016 were included. We performed logistic regression to test for associations between 100-day mortality and explanatory variables. We performed a relative survival analysis to identify factors associated with short- and long-term survival.Results Among 239 octogenarian patients treated with major resections with curative intent, the 100-day mortality was 10.1%. Among 215 patients that survived the first 100 days, the five-year relative survival rate was 99.7%. The 100-day mortality of octogenarian patients was significantly shorter than that of younger patients, but the long-term survival converged with that of younger patients. Among octogenarian patients, the incidence of colon cancer more than doubled during our 37-year observation period. The relative increase in patients undergoing surgery exceeded the increase in incidence; hence, more patients were selected for surgery over time. A high 100-day mortality was associated with older age, a high American Society of Anaesthesiologists (ASA) score, and emergency surgery. Moreover, worse long-term survival was associated with a high Charlson Comorbidity Index, a high ASA score, a worse TNM stage, emergency surgery and residual tumours. Both the 100‑day and long-term survival rates improved over time. Conclusion Among octogenarian patients with colon cancer that underwent major resections with curative intent, the 100-day mortality was high, but after surviving 100 days, the relative long-term survival rate was comparable to that of younger patients. Further improvements in survival will primarily require measures to reduce the 100-day mortality risk.


2019 ◽  
Vol 23 (9) ◽  
pp. 1893-1899
Author(s):  
Toshiya Nagasaki ◽  
Takashi Akiyoshi ◽  
Yosuke Fukunaga ◽  
Tetsuro Tominaga ◽  
Tomohiro Yamaguchi ◽  
...  

2017 ◽  
Vol 28 ◽  
pp. iii100-iii101
Author(s):  
Jolanta Zok ◽  
Renata Duchnowska ◽  
Barbara Radecka ◽  
Krzysztof Adamowicz ◽  
Jan Korniluk ◽  
...  

2017 ◽  
Vol 8 (5) ◽  
pp. 867-876 ◽  
Author(s):  
Marco Ceresoli ◽  
Niccolò Allievi ◽  
Federico Coccolini ◽  
Giulia Montori ◽  
Paola Fugazzola ◽  
...  

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