Perioperative and Medium-Term Outcome of Bridge to Surgery for Obstructive Colorectal Cancer

Bridge to surgery(BTS), in which a self-expandable metallic stent(SEMS)is implanted for obstructive colorectal cancer and surgery is performed after decompression, is now widely practiced in Japan. We reviewed the outcomes of 31 patients with Stage Ⅱ or Ⅲ colorectal cancer who underwent radical rese...

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Bibliographic Details
Published inGan to kagaku ryoho Vol. 51; no. 13; p. 1541
Main Authors Osawa, Hideki, Ikeshima, Ryo, Yoshioka, Shinichi, Uemura, Kohei, Okauchi, Yoshitaka, Maruyama, Minami, Ikeda, Yuji, Nomura, Tomonori, Marukawa, Daiki, Taniguchi, Yoshiki, Asukai, Kei, Masuzawa, Toru, Fujita, Junya, Tamura, Shigeyuki, Sasaki, Yo
Format Journal Article
LanguageJapanese
Published Japan 01.12.2024
Subjects
Aged
Aged, 80 and over
Colorectal Neoplasms - complications
Colorectal Neoplasms - surgery
Female
Humans
Intestinal Obstruction - etiology
Intestinal Obstruction - surgery
Male
Middle Aged
Time Factors
Treatment Outcome
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Summary:Bridge to surgery(BTS), in which a self-expandable metallic stent(SEMS)is implanted for obstructive colorectal cancer and surgery is performed after decompression, is now widely practiced in Japan. We reviewed the outcomes of 31 patients with Stage Ⅱ or Ⅲ colorectal cancer who underwent radical resection after SEMS implantation at our hospital between January 2015 and December 2020. The mean age of the patients was 70.3 years; 17 were men and 14 were women. The median interval time from SEMS implantation to surgery was 23 days, and all patients underwent laparoscopic surgery. Four patients experienced complications of Clavien-Dindo Grade Ⅱ or higher. Fifteen patients had positive lymph nodes. Postoperative adjuvant chemotherapy was administered to 15 patients. The 3 years recurrence-free survival(RFS)rate was 69.3%, and the 3 years overall survival(OS)rate was 79.7%. These results suggest that BTS after SEMS implantation for obstructive colorectal cancer is safely performed at our hospital.
ISSN:0385-0684