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Colonic stenting as a bridge to surgery for obstructive colon cancer: is it safe in the long term?

Authors
Kim, Seung HanJang, Se HyunJeon, Han JoChoi, Hyuk SoonKim, Eun SunKeum, BoraJeen, Yoon TaeChun, Hoon JaiKim, Jin
Issue Date
Jun-2022
Publisher
Springer Verlag
Keywords
Obstructive colon cancer; Self-expanding metal stent; Oncologic outcome
Citation
Surgical Endoscopy, v.36, no.6, pp.4392 - 4400
Indexed
SCIE
SCOPUS
Journal Title
Surgical Endoscopy
Volume
36
Number
6
Start Page
4392
End Page
4400
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/55207
DOI
10.1007/s00464-021-08789-0
ISSN
0930-2794
Abstract
Background The placement of a self-expanding metal stent in patients with obstructive colon cancer is used as a bridge to surgery. However, due to a lack of consensus and insufficient data, the long-term oncologic outcomes after colonic SEMS placement remain unclear. We assessed the long-term oncologic outcomes and adverse effects of colonic stenting for malignant colonic obstruction. Methods We included 198 patients admitted to Korea University Anam Hospital between 2006 and 2014 for obstructive colon cancer, of whom 98 underwent SEMS placement as a bridge to surgery and 100 underwent direct surgery without stenting. The clinicopathologic characteristics, overall survival, and disease-free survival were compared. Results There were no significant differences in long-term oncologic outcomes between the two groups. The median follow-up durations were 61.55 and 58.64 months in the SEMS and DS groups, respectively. There were also no significant differences in the 5-year OS (77.4% vs. 74.2%, p = 0.691) and 5-year DFS (61.7% vs. 71.0%, p = 0.194) rates between the groups. However, the DS group had significantly more early postoperative complications (p = 0.002). Conclusions Colonic SEMS deployment as a bridge to surgery did not negatively affect long-term oncologic outcomes when compared with DS. In addition, colonic stenting decreased early postoperative complications and reduced the time for patients to return to normal daily activities.
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2. Clinical Science > Department of Colon and Rectal Surgery > 1. Journal Articles
2. Clinical Science > Department of Gastroenterology and Hepatology > 1. Journal Articles

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Kim, Seung Han
Guro Hospital (Department of Gastroenterology and Hepatology, Guro Hospital)
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