Evidence map›Paper›PMID 40785749›Full record

ArticleWideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques2025

Preoperative decompression for left-sided obstructive colorectal cancer: a comparative study between a stent and a decompression tube.

Xin-Chun Guo, Qiang Lu, Yu-Fei Fu, Xin Lu

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Article in Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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4 authors.

Xin-Chun GuoDepartment of Interventional Radiology, Jiangyin Hospital Affiliated with Nantong University, Jiangyin, China.
Qiang LuDepartment of Radiology, Xuzhou Central Hospital, Xuzhou, China.
Yu-Fei FuDepartment of Radiology, Xuzhou Central Hospital, Xuzhou, China.
Xin LuDepartment of Radiology, Xuzhou Central Hospital, Xuzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionStents and decompression tubes (DTs) are both commonly utilized for preoperative decompression in patients with left-sided obstructive colorectal cancer (OCRC). However, the comparative effectiveness and oncological safety of these 2 approaches remain uncertain.

aimThe aim of this study was to compare clinical performance and long-term oncological outcomes of preoperative stent and DT insertion in patients with left-sided OCRC. MATERIALS AND

methodsThe study included 87 consecutive patients, diagnosed with left-sided OCRC between January 2022 and December 2024. All patients underwent preoperative decompression using either a stent or a DT. Clinical decompression efficacy, surgical outcomes, and oncological parameters were compared between the groups.

resultsAmong the 87 patients enrolled, 45 received a stent and 42, a DT. Technical success rates were similar between the groups (stent, 95.6% vs DT, 97.6%; P >0.99), as were clinical success rates (stent, 88.9% vs DT, 90.5%; P >0.99). Perforation occurred in 3 patients (6.7%) in the stent group and 1 participant (2.4%) in the DT group (P = 0.62). Primary anastomosis was achieved in 84.4% of the stent patients and 81% of the DT patients (P = 0.67). Median disease-free survival was 32 (21-43) months in the stent group and 34 (25-43) months in the DT group (P = 0.35), while median overall survival was 38 (29-47) and 39 (34-44) months, respectively (P = 0.53), with no apparent differences between the groups.

conclusionsBoth stent and DT insertion are safe and effective strategies for preoperative left-sided OCRC management. No significant differences in either short-term clinical outcomes or long-term oncological results were observed between the 2 methods.

Indexed as

colorectal cancerdecompression tubeobstructiveoncologystent

Identifiers

PMID40785749
PMCPMC12329667

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