Outcomes of self-expandable metal stent as bridge to surgery versus emergency surgery for left-sided obstructing colon cancer: A retrospective cohort study - 08/12/20
, Taisuke Jo b, Hideo Yasunaga a, Miho Ishimaru c, Takashi Sakamoto a, dAbstract |
Background |
Long-term outcomes of self-expandable metal stents (SEMSs) as bridges to surgery versus emergency surgery in the treatment of left-sided obstructing colon cancer remain unclear.
Methods |
Using a nationwide inpatient database in Japan, we performed one-to-one propensity score matching to compare overall survival, the stoma requirement, postoperative complications, and the length of stay between the SEMS and emergency surgery groups.
Results |
Compared with the emergency surgery group, the SEMS group showed worse survival (hazard ratio, 1.80; 95% confidence interval, 1.07–3.01), a higher incidence of postoperative ileus (8% vs. 4%, P = 0.010), a longer postoperative length of stay (14 vs. 12 days, P < 0.001), and a lower stoma requirement (10% vs. 29%, P < 0.001).
Conclusions |
SEMSs as bridges to surgery are associated with significantly poorer overall survival, a higher incidence of postoperative ileus, a longer length of stay, and a lower stoma requirement than is emergency surgery.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Self-expandable metal stents (SEMSs) have become an alternative to emergency surgery for acute left-sided obstructing colon cancer. |
• | In the present study, SEMSs were associated with poorer survival than emergency surgery. |
• | SEMSs were associated with a higher incidence of ileus and a longer length of stay than emergency surgery. |
• | Fewer patients who underwent SEMS placement than emergency surgery required stomas. |
Keywords : Obstructing colon cancer, Colon stent, Overall survival, Propensity score
Plan
Vol 221 - N° 1
P. 168-173 - janvier 2021 Retour au numéro
Article précédent
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