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- Title
Short- and long-term outcomes of a self-expandable metallic stent versus a transanal decompression tube for pathological stage II and III left-sided obstructive colorectal cancer: a retrospective observational study.
- Authors
Sato, Kentaro; Imaizumi, Ken; Kasajima, Hiroyuki; Kurushima, Michihiro; Umehara, Minoru; Tsuruga, Yosuke; Yamana, Daisuke; Obuchi, Keisuke; Sato, Aya; Nakanishi, Kazuaki
- Abstract
Purpose: Few studies have investigated the long-term oncological outcomes of the self-expandable metallic stent (SEMS) as a bridge to surgery (BTS) for obstructive colorectal cancer (OCRC). We conducted this study to compare the short- and long-term outcomes of the SEMS with those of the traditional transanal decompression tube (TDT) in patients with stage II and III left-sided OCRC. Methods: The subjects of this retrospective study were 78 patients with pathological stage II and III left-sided OCRC who underwent radical surgery after SEMS or TDT placement, between April, 2005 and September, 2019. We compared perioperative data, including decompression success rates and 3-year relapse-free survival (RFS), between the SEMS and TDT groups. Results: A SEMS was placed in 60 (76.9%) patients and a TDT was placed in 18 (23.1%) patients, achieving a clinical success rate of decompression of 98.3% in the SEMS group and 77.8% in the TDT group (P = 0.009). The 3-year RFS of the overall cohort was better in the SEMS group than in the TDT group (74.9% vs. 40.9%, respectively; P = 0.003). Conclusions: Decompression using a SEMS as the BTS may improve oncological outcomes over those achieved by a TDT in patients with left-sided stage II and III OCRC.
- Subjects
COLORECTAL cancer; TUMOR classification; SCIENTIFIC observation; TUBES; RETROSPECTIVE studies
- Publication
Surgery Today, 2022, Vol 52, Issue 2, p268
- ISSN
0941-1291
- Publication type
Article
- DOI
10.1007/s00595-021-02341-2