Does the diameter of colonic stent influence the outcomes in bridge-to-surgery patients with malignant large bowel obstruction?
Surg Today
; 51(6): 986-993, 2021 Jun.
Article
em En
| MEDLINE
| ID: mdl-33247782
ABSTRACT
PURPOSE:
This study investigated the short- and long-term outcomes of 18- and 22-mm-diameter self-expandable metallic stent (SEMS) as a bridge to surgery (BTS) in patients with malignant large bowel obstruction (MLBO).METHODS:
Sixty-nine pathological stage II and III colorectal cancer patients who underwent BTS were included in this multi-institutional retrospective study. Patients were divided into two groups regarding the diameter of SEMS an 18-mm group (n = 30) and a 22-mm group (n = 39).RESULTS:
There was no significant difference in the clinical success rate, but both of the two re-obstructions observed occurred in the 18-mm group. The 18-mm group showed a trend toward a higher incidence of overall postoperative complications (Clavien-Dindo grading ≥ II) than the 22-mm group (33.3% vs. 10.3%, P = 0.061). The 3-year disease-free and overall survival showed no significant differences between the 18- and 22-mm groups (78.2% vs. 68.8%, P = 0.753 and 92.8% vs. 82.1%, P = 0.471, respectively).CONCLUSION:
SEMS of 18 and 22 mm diameter confer statistically equivalent short- and long-term outcomes as a BTS.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Procedimentos Cirúrgicos do Sistema Digestório
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Neoplasias Colorretais
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Desenho de Equipamento
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Stents Metálicos Autoexpansíveis
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Obstrução Intestinal
Tipo de estudo:
Etiology_studies
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Incidence_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Surg Today
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Japão