title: [Usefulness of Metallic Stent for Left-Sided Obstructive Colon Cancer].
abstract: The aim of this study was to compare the efficacy of self-expandable metallic stent (SEMS) and transanal tube as preoperative treatments for left-sided obstructive colon cancer. Forty-three patients (the SEMS group: 28 cases, the tube group: 15 cases) were included in this study. Clinicopathological data (age, sex, tumor location, depth, histological type, stage) were comparable between the 2 groups. In addition, there was no difference in intestinal decompression rate between the SEMS group and the tube group (technical success rate: 100% vs 86.7%, clinical success rate: 92.8% vs 73.3%, complication rate: 7.1% vs 0%). A significantly higher number of patients in the SEMS group underwent laparoscopic surgery because of difference of historical background. However, no significant difference was observed between the 2 groups in postoperative outcome(complication rate, hospital stay duration). SEMS insertion had several benefits compared to transanal tube placement, such as the resumption of oral intake because of rapid resolution of obstruction and easier management because SEMSs do not require washing. SEMS insertion could be a safe and effective bridge to subsequent surgery in patients with left-sided obstructive colon cancer.
authors.affiliation: Dept. of Surgery, National Hospital Organization Kure Medical Center and Chugoku Cancer Center.
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Shimizu
authors.forename: Harumi
authors.initials: H
authors.lastname: Tominaga
authors.forename: Shinya
authors.initials: S
authors.lastname: Yamashita
authors.forename: Yuri
authors.initials: Y
authors.lastname: Kimura
authors.forename: Kazuki
authors.initials: K
authors.lastname: Odagiri
authors.forename: Tomoaki
authors.initials: T
authors.lastname: Kurokawa
authors.forename: Megumi
authors.initials: M
authors.lastname: Yamaguchi
authors.forename: Gen
authors.initials: G
authors.lastname: Takahashi
authors.forename: Genta
authors.initials: G
authors.lastname: Sawada
authors.forename: Masashi
authors.initials: M
authors.lastname: Inoue
authors.forename: Moon
authors.initials: M
authors.lastname: Jeongho
authors.forename: Toshimitsu
authors.initials: T
authors.lastname: Irei
authors.forename: Shin
authors.initials: S
authors.lastname: Nakahira
authors.forename: Nobutaka
authors.initials: N
authors.lastname: Hatanaka
mesh_terms: D000368:Aged; D003110:Colonic Neoplasms / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery*; D010535:Laparoscopy; D007902:Length of Stay; D008297:Male; D000069322:Self Expandable Metallic Stents; D016896:Treatment Outcome