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- W2783552007 abstract "Purpose Colonic stenting as a bridge to surgery is an alternative to emergency surgery in patients with acute malignant colonic obstruction. This study aimed to compare the outcomes of early and late surgery after colonic stenting for obstructive colorectal cancer. Methods From March 2004 to August 2014, the medical records of obstructive colorectal cancer patients who underwent surgery after colonic stent insertion were retrospectively reviewed. The patients were divided into early surgery (â¤7 days after stenting) and late surgery (>7 days after stenting) groups. Results Eighty-four patients underwent colonic stenting for obstructive colorectal cancer. Forty-six patients were ultimately enrolled: 18 in the early and 28 in the late surgery groups. The mean ages were 63.7 and 71.8 years, respectively (P=0.01). Blood loss was lower in the early surgery group (median [interquartile range], 50 [50â50] mL vs. 50 [50â100] mL; P=0.020). The time to first flatus was longer in the early surgery group (3.0 [3.0â5.0] days vs. 2.0 [2.0â3.0] days; P=0.010). The time to first soft food intake was similar. Postoperative complications did not differ (16.7% vs. 14.3%, respectively; P=0.525) and no patients died. Conclusion Surgical outcomes were similar between early and late surgery. However, the former featured less blood loss, indicating less surgical difficulty. These results show that early surgery can be performed safely in obstructive colorectal cancer patients after colonic stenting if the patientâs clinical condition is amenable to early surgery. Keywords: Colorectal neoplasm, Endoscopic stenting, Intestinal obstruction" @default.
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- W2783552007 date "2017-12-31" @default.
- W2783552007 modified "2023-10-14" @default.
- W2783552007 title "Comparison of early and late surgery following colonic stenting for obstructive colorectal cancer" @default.
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- W2783552007 doi "https://doi.org/10.14216/kjco.17014" @default.
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