Feasibility and safety of laparoscopic resection following stent insertion for obstructing left-sided colon cancer / 대한외과학회지
Journal of the Korean Surgical Society
; : 290-295, 2013.
Article
em En
| WPRIM
| ID: wpr-48468
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE: The aim of this study was to assess the feasibility and safety of laparoscopic resection following the insertion of self-expanding metallic stents (SEMS) for the treatment of obstructing left-sided colon cancer. METHODS: Between October 2006 and December 2012, laparoscopic resection following SEMS insertion was performed in 54 patients with obstructing left-sided colon cancer. RESULTS: All 54 procedures were technically successful without the need for conversion to open surgery. The median interval from SEMS insertion to laparoscopic surgery was 9 days (range, 3-41 days). The median surgery time was 200 minutes (range, 57-444 minutes), and estimated blood loss was 50 mL (range, 10-3,500 mL). The median time to soft diet was 4 days (range, 2-8 days) and possible length of stay (hypothetical length of stay according to the discharge criteria) was 7 days (range, 4-22 days). The median total number of lymph nodes harvested was 23 (range, 8-71) and loop ileostomy was performed in 2 patients (4%). Six patients (11%) developed postoperative complications: 2 patients with anastomotic leakages, 1 with bladder leakage, and 3 with ileus. There was no mortality within 30 days. CONCLUSION: The present study shows that the presence of a SEMS does not compromise the laparoscopic approach. Laparoscopic resection following stent insertion for obstructing left-sided colon cancer could be performed with a favorable safety profile and short-term outcome. Large-scale comparative studies with long-term follow-up are needed to demonstrate a significant benefit of this approach.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Complicações Pós-Operatórias
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Bexiga Urinária
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Ileostomia
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Stents
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Mortalidade
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Laparoscopia
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Colo
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Neoplasias do Colo
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Íleus
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Dieta
Tipo de estudo:
Prognostic_studies
Limite:
Humans
Idioma:
En
Revista:
Journal of the Korean Surgical Society
Ano de publicação:
2013
Tipo de documento:
Article