Short-term outcomes of laparoscopy- assisted surgery after self-expandable metallic stent for left-sided obstructive colorectal cancer Yuhei WAKI 1 , Kazunori TOKUDA 1 , Takeshi UTSUNOMIYA 1 , Masanori HOTCHI 1 , Hiroshi KOTEGAWA 1 , Hirotsugu YOSHIYAMA 1 , Masamitsu HARADA 1 , Hideki KAWASAKI 1 1Department of Gastroenterological Surgery, Ehime Prefectural Central Hospital Keyword: ステント , 腹腔鏡補助下手術 , 大腸癌 pp.29-34
Published Date 2014/1/15
DOI https://doi.org/10.11477/mf.4426101040
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[Purpose] Safety and validity of performing laparoscopy-assisted surgery after preoperative lavage using the self-expandable metallic stent for left-sided obstructive colorectal cancer were examined. [Patients and Methods] Patients with left-sided colorectal cancer treated by either laparoscopy-assisted surgery with stent placement(n=8) or laparoscopy-assisted surgery only(n=42) in our hospital between April, 2012 and January, 2013 were identified, and short-term outcomes were compared with the two groups. [Results] Except for Performance Status and tumor size in the patient characteristic parameters, there was no statistically significant difference between the two groups. Conversion rate to laparotomy was higher in the stent group(2 versus 1, P=0.013). There was no difference in operation time, blood loss during the operation and postoperative complications between the two groups. [Conclusion] Although the long-term oncological result requires further investigation, laparoscopy-assisted surgery after self-expandable metallic stent is a safe and feasible treatment for left-sided obstructive colorectal cancer.

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