Feasibility and safety of laparoscopic resection following stent insertion for obstructing left-sided colon canceropen access
- Authors
- Rho S.Y.; Bae S.U.; Baek S.J.; Hur H.; Min B.S.; Baik S.H.; Lee K.Y.; Kim N.K.
- Issue Date
- 2013
- Keywords
- Colonic neoplasms; Laparoscopy; Stents
- Citation
- Journal of the Korean Surgical Society, v.85, no.6, pp 290 - 295
- Pages
- 6
- Indexed
- SCOPUS
- Journal Title
- Journal of the Korean Surgical Society
- Volume
- 85
- Number
- 6
- Start Page
- 290
- End Page
- 295
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/11368
- DOI
- 10.4174/jkss.2013.85.6.290
- ISSN
- 1226-0053
- Abstract
- Purpose: The aim of this study was to assess the feasibility and safety of lapa-roscopic resection following the insertion of self-expanding metallic stents (SEMS) for the treatment of obstructing left-sided colon cancer. Methods: Between October 2006 and December 2012, laparoscopic resection following SEMS insertion was performed in 54 patients with obstructing left-sided colon cancer. Results: All 54 procedures were technically successful without the need for conversion to open surgery. The median interval from SEMS insertion to laparoscopic surgery was 9 days (range, 3-41 days). The median surgery time was 200 minutes (range, 57-444 minutes), and estimated blood loss was 50 mL (range, 10-3,500 mL). The median time to soft diet was 4 days (range, 2-8 days) and possible length of stay (hypothetical length of stay according to the discharge criteria) was 7 days (range, 4-22 days). The median total number of lymph nodes harvested was 23 (range, 8-71) and loop ileostomy was performed in 2 patients (4%). Six patients (11%) developed postoperative complications: 2 patients with anastomotic leakages, 1 with bladder leakage, and 3 with ileus. There was no mortality within 30 days. Conclusion: The present study shows that the presence of a SEMS does not compromise the laparoscopic approach. Laparoscopic resection following stent insertion for obstructing left-sided colon cancer could be performed with a favorable safety profile and short-term outcome. Large-scale comparative studies with long-term follow-up are needed to demonstrate a significant benefit of this approach. Copyright © 2013, the Korean Surgical Society.
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- Appears in
Collections - 2. Clinical Science > Department of Colon and Rectal Surgery > 1. Journal Articles
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