Comparison between self-expandable metallic stent and trans-anal ileus tube in laparoscopy-assisted colectomy for obstructive left colorectal cancer Kuniyuki KATO 1 , Kenichi OYAMA 1 , Koki OTSUKA 2 , Yutaka NISHINARI 1 , Hiroyuki NITTA 2 , Keisuke KOEDA 2 , Akira SASAKI 2 1Department of Surgery, Noshiro Public Welfare Medical Center 2Department of Surgery, Iwate Medical University Keyword: 腹腔鏡下手術 , 大腸癌 , 大腸ステント pp.601-607
Published Date 2018/9/15
DOI https://doi.org/10.11477/mf.4426200599
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[Purpose] Self-expanding metal stents (SEMS) for the colon have been covered by the insurance system in Japan since 2012, and their use continues to spread as a means of preoperative decompression for obstructive colon cancer. In this study, the efficacy of SEMS was compared with that of transanal ileus tube (TAIT) in laparoscopic-assisted colectomy (LAC) for left-sided obstructive colorectal cancer. [Subjects] Twenty left-sided obstructive colorectal cancer patients undergoing LAC at the authors' hospital over the past four years were divided into two groups, 10 in whom a SEMS was placed and 10 in whom a TAIT was placed, and the short-term treatment outcomes were compared. [Results] Oral ingestion was possible in all patients in the SEMS group. Significantly better results were seen in waiting period until surgery (SEMS group 10.9 days, TAIT group 14.9 days) and decompression results (the tumor proximal side diameter/distal side diameter ratio measured in resected specimens was 1.17 in the SEMS group and 1.40 in the TAIT group). [Conclusion] Sufficient decompression was obtained with preoperative SEMS placement compared with TAIT insertion, no significant in short-term outcome and histopathological influence.

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