Oncologic investigation of the interval from stent placement to surgery in patients with obstructive colorectal cancer
© 2024. The Author(s) under exclusive licence to Springer Nature Singapore Pte Ltd..
PURPOSE: Self-expandable metallic stent (SEMS) placement is widely used as a bridge to surgery (BTS) procedure for obstructive colorectal cancer. However, evidence regarding the optimal interval between SEMS placement and elective surgery is lacking.
METHODS: We retrospectively collected data from patients with BTS between January 2013 and October 2021. Inverse probability treatment-weighted propensity score analyses were used to compare short- and long-term outcomes between the short-interval (SI) and long-interval (LI) groups, using a cutoff of 20 days.
RESULTS: In total, 138 patients were enrolled in this study (SI group, n = 63; LI group, n = 75). In the matched cohort, the patients' backgrounds were well balanced. The incidence of Clavien-Dindo grade ≥ II postoperative complications was not significantly different between the SI and LI groups (19.0% vs. 14.0%, P = 0.47). There were no significant differences between the SI and LI groups in the 3-year recurrence-free survival (68.0% vs. 76.4%, P = 0.73) or 3-year overall survival rates (86.0% vs. 90.6%, P = 0.72).
CONCLUSIONS: A longer interval did not deteriorate the oncological outcomes. Individual perioperative management with an appropriate interval to improve the patient's condition is required to ensure safe surgery.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2024 |
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| Enthalten in: |
Surgery today - (2024) vom: 25. März |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Kanaka, Shintaro [VerfasserIn] |
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| Links: |
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| Themen: |
Colorectal cancer |
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| Anmerkungen: |
Date Revised 25.03.2024 published: Print-Electronic Citation Status Publisher |
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| doi: |
10.1007/s00595-024-02818-w |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM370161300 |
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| 245 | 1 | 0 | |a Oncologic investigation of the interval from stent placement to surgery in patients with obstructive colorectal cancer |
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| 520 | |a © 2024. The Author(s) under exclusive licence to Springer Nature Singapore Pte Ltd. | ||
| 520 | |a PURPOSE: Self-expandable metallic stent (SEMS) placement is widely used as a bridge to surgery (BTS) procedure for obstructive colorectal cancer. However, evidence regarding the optimal interval between SEMS placement and elective surgery is lacking | ||
| 520 | |a METHODS: We retrospectively collected data from patients with BTS between January 2013 and October 2021. Inverse probability treatment-weighted propensity score analyses were used to compare short- and long-term outcomes between the short-interval (SI) and long-interval (LI) groups, using a cutoff of 20 days | ||
| 520 | |a RESULTS: In total, 138 patients were enrolled in this study (SI group, n = 63; LI group, n = 75). In the matched cohort, the patients' backgrounds were well balanced. The incidence of Clavien-Dindo grade ≥ II postoperative complications was not significantly different between the SI and LI groups (19.0% vs. 14.0%, P = 0.47). There were no significant differences between the SI and LI groups in the 3-year recurrence-free survival (68.0% vs. 76.4%, P = 0.73) or 3-year overall survival rates (86.0% vs. 90.6%, P = 0.72) | ||
| 520 | |a CONCLUSIONS: A longer interval did not deteriorate the oncological outcomes. Individual perioperative management with an appropriate interval to improve the patient's condition is required to ensure safe surgery | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Colorectal cancer | |
| 650 | 4 | |a Interval | |
| 650 | 4 | |a Stent | |
| 650 | 4 | |a Surgery | |
| 650 | 4 | |a Survival | |
| 700 | 1 | |a Matsuda, Akihisa |e verfasserin |4 aut | |
| 700 | 1 | |a Yamada, Takeshi |e verfasserin |4 aut | |
| 700 | 1 | |a Yokoyama, Yasuyuki |e verfasserin |4 aut | |
| 700 | 1 | |a Matsumoto, Satoshi |e verfasserin |4 aut | |
| 700 | 1 | |a Takahashi, Goro |e verfasserin |4 aut | |
| 700 | 1 | |a Sonoda, Hiromichi |e verfasserin |4 aut | |
| 700 | 1 | |a Ohta, Ryo |e verfasserin |4 aut | |
| 700 | 1 | |a Uehara, Kay |e verfasserin |4 aut | |
| 700 | 1 | |a Shinji, Seiichi |e verfasserin |4 aut | |
| 700 | 1 | |a Iwai, Takuma |e verfasserin |4 aut | |
| 700 | 1 | |a Takeda, Kohki |e verfasserin |4 aut | |
| 700 | 1 | |a Sekiguchi, Kumiko |e verfasserin |4 aut | |
| 700 | 1 | |a Kuriyama, Sho |e verfasserin |4 aut | |
| 700 | 1 | |a Miyasaka, Toshimitsu |e verfasserin |4 aut | |
| 700 | 1 | |a Yoshida, Hiroshi |e verfasserin |4 aut | |
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