リケラボ論文検索は、全国の大学リポジトリにある学位論文・教授論文を一括検索できる論文検索サービスです。

リケラボ 全国の大学リポジトリにある学位論文・教授論文を一括検索するならリケラボ論文検索大学・研究所にある論文を検索できる

リケラボ 全国の大学リポジトリにある学位論文・教授論文を一括検索するならリケラボ論文検索大学・研究所にある論文を検索できる

大学・研究所にある論文を検索できる 「Comparison of self‐expandable metallic stent placement followed by laparoscopic resection and elective laparoscopic surgery without stent placement for left‐sided colon cancer.」の論文概要。リケラボ論文検索は、全国の大学リポジトリにある学位論文・教授論文を一括検索できる論文検索サービスです。

コピーが完了しました

URLをコピーしました

論文の公開元へ論文の公開元へ
書き出し

Comparison of self‐expandable metallic stent placement followed by laparoscopic resection and elective laparoscopic surgery without stent placement for left‐sided colon cancer.

UEKI Tomoyuki 0000-0002-7285-5222 MIYAKE Toru 70581924 KOJIMA Masatsugu 10452236 KAIDA Sachiko 70710234 0000-0002-1279-5942 IIDA Hiroya 30733901 0000-0001-6245-4583 SHIMIZU Tomoharu 70402708 0000-0002-2858-0786 TANI Masaji 60236677 0000-0003-1270-6003 滋賀医科大学

2021.01.15

概要

Aim:
Self‐expandable metallic stent (SEMS) placement for obstructive colon cancer is widely performed as a bridge to surgery (BTS) procedure before resection. This study aimed to investigate the surgical and oncological results of laparoscopic elective surgery with or without SEMS placement to assess the efficacy of SEMS placement as a BTS.
Methods:
We retrospectively analyzed consecutive patients with stage II, III, and IV left‐sided colon cancer who underwent elective laparoscopic resection between 2013 and 2019. All patients were divided into two groups: with and without SEMS placement.
Results:
The SEMS group included 24 patients, whereas the non‐SEMS group included 86 patients. The serum hemoglobin and albumin levels were lower (P = .049, P = .03), and the serum leukocyte and C‐reactive protein levels were higher (P < .0001, P = .022) in the SEMS group. The tumor diameter and tumor circumferential rate were higher in the SEMS group (both P < .0001). No significant differences were observed in operation time, blood loss, postoperative complications, or postoperative hospital stay. After 1:1 propensity score matching, 15 patients in the SEMS group were compared with 15 patients in the non‐SEMS group. The 3‐year overall survival rates of the SEMS and non‐SEMS groups were 87.5% and 88.9%, respectively (P = .97). The 3‐year recurrence‐free survival rates of the SEMS and non‐SEMS groups were 58.2% and 81.7%, respectively (P = .233). No significant difference was found in the sites of recurrence.
Conclusion:
The perioperative and long‐term outcomes of SEMS placement as a BTS before laparoscopic resection could be acceptable compared with other elective laparoscopic operations without SEMS placement.

この論文で使われている画像

関連論文

参考文献

have acceptable results compared with other elective laparoscopic

1. Gorissen KJ, Tuynman JB, Fryer E, Wang L, Uberoi R, Jones OM,

et al. Local recurrence after stenting for obstructing left-sided colonic cancer. Br J Surg. 2013;100:1805–9.

2. McCullough JA, Engledow AH. Treatment options in obstructed

left-sided colonic cancer. Clin Oncol. 2010;22:764–70.

3. Matsuda A, Miyashita M, Matsumoto S, Matsutani T, Sakurazawa

N, Takahashi G, et al. Comparison of long-term outcomes of colonic stent as “bridge to surgery” and emergency surgery for malignant large-bowel obstruction: a meta-analysis. Ann Surg Oncol.

2015;22:497–504.

4. Barillari P, Aurello P, De Angelis R, Valabrega S, Ramacciato

G, D'Angelo F, et al. Management and survival of patients

operations without SEMS placement. Furthermore, the recurrence

pattern was not significantly different between the two groups, as in

previous reports. 22,32

Our study had several limitations. First, this study had a retrospective design and was performed at a single institution. Second,

the sample size was small. Third, the indications of SEMS placement

for obstructive colon cancer were unclear. In fact, several patients in

the SEMS group had no obstructive symptoms. Moreover, the median

follow-up period was relatively short, and the observation period

7

UEKI et al.

5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. affected with obstructive colorectal cancer. Int Surg. 1992;77:

251–5.

De Ceglie A, Filiberti R, Baron TH, Ceppi M, Conio M. A meta-analysis of endoscopic stenting as bridge to surgery versus emergency

surgery for left-sided colorectal cancer obstruction. Crit Rev Oncol

Hematol. 2013;88:387–403.

Itabashi M, Hamano K, Kameoka S, Asahina K. Self-expanding

stainless steel stent application in rectosigmoid stricture. Dis Colon

Rectum. 1993;36:508–11.

Dohmoto M, Hunerbein M, Schlag PM. Application of rectal stents

for palliation of obstructing rectosigmoid cancer. Surg Endosc.

1997;11:758–61.

Tejero E, Mainar A, Fernandez L, Tobio R, De Gregorio MA. New

procedure for the treatment of colorectal neoplastic obstructions.

Dis Colon Rectum. 1994;37:1158–9.

Saida Y, Sumiyama Y, Nagao J, Takase M. Stent endoprosthesis

for obstructing colorectal cancers. Dis Colon Rectum. 1996;39:

552–5.

Tomita M, Saito S, Makimoto S, Koizumi K, Saida Y. Self-expandable

metallic stenting as a bridge to surgery for malignant colorectal

obstruction: pooled analysis of 426 patients from two prospective

multicenter series. Surg Endosc. 2019;33:499–509.

Adler DG. Management of malignant colonic obstruction. Curr

Treat Options Gastroenterol. 2005;8:231–7.

Saida Y, Sumiyama Y, Nagao J, Uramatsu M, et al. Long-term prognosis of preoperative “bridge to surgery” expandable metallic stent

insertion for obstructive colorectal cancer: comparison with emergency operation. Dis Colon Rectum. 2003;46:S44–S49.

Zhao XD, Cai BB, Cao RS, Shi RH. Palliative treatment for incurable malignant colorectal obstructions: a meta-analysis. World J

Gastroenterol. 2013;19:5565–74.

Cirocchi R, Farinella E, Trastulli S, Desiderio J, Listorti C, Boselli C,

et al. Safety and efficacy of endoscopic colonic stenting as a bridge

to surgery in the management of intestinal obstruction due to left

colon and rectal cancer: a systematic review and meta-analysis.

Surg Oncol. 2013;22:14–21.

Liang TW, Sun Y, Wei YC, Yang D-X. Palliative treatment of malignant colorectal obstruction caused by advanced malignancy: a

self-expanding metallic stent or surgery? A system review and meta-analysis. Surg Today. 2014;44:22–33.

van Hooft JE, Bemelman WA, Oldenburg B, Marinelli AW, Holzik

MFL, Grubben MJ. Colonic stenting versus emergency surgery for

acute left-sided malignant colonic obstruction: a multicentre randomised trial. Lancet Oncol. 2011;12:344–52.

Pirlet IA, Slim K, Kwiatkowski F, Michot F, Millat BL. Emergency

preoperative stenting versus surgery for acute left-sided malignant

colonic obstruction: a multicenter randomized controlled trial. Surg

Endosc. 2011;25:1814–21.

Ho KS, Quah HM, Lim JF, Tang C-L, Eu K-W. Endoscopic stenting

and elective surgery versus emergency surgery for left-sided malignant colonic obstruction: a prospective randomized trial. Int J

Colorectal Dis. 2012;27:355–62.

van Hooft JE, van Halsema EE, Vanbiervliet G, Beets-Tan R,

DeWitt J, Donnellan F, et al. Self-expandable metal stents for obstructing colonic and extracolonic cancer: European Society of

Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy.

2014;46:990–1053.

Amelung FJ, Burghgraef TA, Tanis PJ, van Hooft JE, ter Borg F,

Siersema PD, et al. Critical appraisal of oncological safety of

stent as bridge to surgery in left-sided obstructing colon cancer;

a systematic review and meta-analysis. Crit Rev Oncol Hematol.

2018;131:66–75.

van Hooft JE, van Halsema EE, Vanbiervliet G, Beets-Tan RGH,

Everett S, Götz M, et al. Self-expandable metal stents for obstructing colonic and extracolonic cancer: European Society of

22. 23. 24. 25. 26. 27. 28. 29. 3 0. 31. 32. Gastrointestinal Endoscopy (ESGE) Clinical Guideline – Update

2020. Endoscopy. 2020;52:389–407.

Matsuzawa T, Ishida H, Yoshida S, Isayama H, Kuwai T, Maetani I,

et al. A Japanese prospective multicenter study of self-expandable

metal stent placement for malignant colorectal obstruction: shortterm safety and efficacy within 7 days of stent procedure in 513

cases. Gastrointest Endosc. 2015;82:697–707.

Saito S, Yoshida S, Isayama H, Matsuzawa T, Kuwai T, Maetani I,

et al. A prospective multicenter study on self-expandable metallic stents as a bridge to surgery for malignant colorectal obstruction in Japan: efficacy and safety in 312 patients. Surg Endosc.

2016;30:3976–86.

Sato R, Oikawa M, Ito K, Tsuchiya T. Comparison of the longterm outcomes of the self-expandable metallic stent and transanal decompression tube for obstructive colorectal cancer. Ann

Gastroenterol Surg. 2019;3:209–16.

Diane M, Charles S, Mehdi K. What is the best option between

primary diverting stoma or endoscopic stent as a bridge to surgery with a curative intent for obstructed left colon cancer?

Results from a propensity score analysis of the French Surgical

Association Multicenter Cohort of 518 patients. Ann Surg Oncol.

2019;26:756–64.

Sabbagh C, Browet F, Diouf M, Cosse C, Brehant O, Bartoli E, et al.

Is stenting as “a bridge to surgery”, an oncologically safe strategy

for the management of acute, left-sided, malignant, colonic obstruction? A comparative study with a propensity score analysis.

Ann Surg. 2013;258:107–15.

Kim HJ, Choi GS, Park JS, Park SY, Jun SH. Higher rate of perineural invasion in stent-laparoscopic approach in comparison to emergent open resection for obstructing left-sided colon cancer. Int J

Colorectal Dis. 2013;28:407–14.

Sloothaak DA, van den Berg MW, Dijkgraaf MG, Fockens P, Tanis

PJ, van Hooft JE, et al. Oncological outcome of malignant colonic

obstruction in the Dutch Stent-In 2 trial. Br J Surg. 2014;101:

1751–7.

Takahashi G, Yamada T, Uchida E. Oncological assessment of stent

placement for obstructive colorectal cancer from circulating cellfree DNA and circulating tumor DNA dynamics. Ann Surg Oncol.

2018;25:737–44.

Amelung FJ, Borg F, Consten EC, Siersema PD, Draaisma WA.

Deviating colostomy construction versus stent placement as

bridge to surgery for malignant left-sided colonic obstruction. Surg

Endosc. 2016;30:5345–55.

Arezzo A, Balague C, Targarona E, Borghi F, Giraudo G, Ghezzo

L, et al. Colonic stenting as a bridge to surgery versus emergency

surgery for malignant colonic obstruction: results of a multicentre randomised controlled trial (ESCO trial). Surg Endosc.

2016;31(8):3297–305.

Ceresoli M, Allievi N, Coccolini F, Montori G, Fugazzola P, Pisano

M, et al. Long-term oncologic outcomes of stent as a bridge to

surgery versus emergency surgery in malignant left side colonic

obstructions: a meta-analysis. J Gastrointest Oncol. 2017;8:

867–76.

How to cite this article: Ueki T, Miyake T, Kojima M, et al.

Comparison of self-expandable metallic stent placement

followed by laparoscopic resection and elective laparoscopic

surgery without stent placement for left-sided colon cancer.

Ann Gastroenterol Surg. 2021;00:1–7. https://doi.

org/10.1002/ags3.12422

...

参考文献をもっと見る

全国の大学の
卒論・修論・学位論文

一発検索!

この論文の関連論文を見る