Efficacy of self-expanding metallic stent for right-sided colonic obstruction due to carcinoma before 1-stage laparoscopic surgery.
OBJECTIVE
The aim of this small study was to assess the clinical outcomes of self-expanding metallic stent (SEMS) placement followed by 1-stage laparoscopic resection for treatment of acute right-sided colonic obstruction due to carcinoma.


METHODS
From January 2012 to December 2012, we performed 1-stage laparoscopic colectomy after placement of SEMS for right-sided obstructive colon carcinoma in 4 patients.


RESULTS
SEMS placement was technically successful in all cases and symptoms were immediately relieved. The presence of the endoluminal stent did not prevent a laparoscopic approach; moreover, decompression of the bowel obstruction provided a wide field of view and working space for the laparoscopic procedure. There were no cases of conversion to laparotomy and no intraoperative complications.


CONCLUSIONS
One-stage laparoscopic surgery, as a minimally invasive therapy, can be safely performed by SEMS placement in patients with acute right-sided colonic obstruction due to carcinoma. A large sample study is required to confirm the efficacy of this procedure.
Departments of *Surgery †Gastroenterology, Okaya Municipal Hospital, Okaya, Japan.
Takuma
T
Arai
Masahiro
M
Sakon
Taishi
T
Fujii
Shinji
S
Sawano
Satoshi
S
Nagano
Mitsuyo
M
Umegaki
Akira
A
Kawashima
Shiro
S
Miwa
D000368:Aged; D003110:Colonic Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008136:Longevity; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D015607:Stents; D016896:Treatment Outcome