Literature DB >> 30293707

Critical appraisal of oncological safety of stent as bridge to surgery in left-sided obstructing colon cancer; a systematic review and meta-analysis.

Femke J Amelung1, Thijs A Burghgraef1, Pieter J Tanis2, Jeanin E van Hooft3, Frank Ter Borg4, Peter D Siersema5, Willem A Bemelman2, Esther C J Consten6.   

Abstract

This meta-analysis aims to determine the long-term oncological outcomes of SEMS as bridge to surgery (BTS) versus emergency surgery (ES). A systematic search without restrictions was conducted, and all studies comparing SEMS with ES reporting on long-term outcomes were included. Methodological quality was assessed using the appropriate tools. Twenty-one comparative studies were selected, reporting on 1919 patients. Meta-analysis showed no significant difference regarding three- and five-year overall survival (OR = 0·85 (0·68-1·08) and OR = 1·04 (0·68-1·57), respectively), disease-free survival (OR = 0·96 (0·73-1·26) and OR = 0·86 (0·54-1·36), respectively) and local recurrence rate (OR = 1·32 (0·78-2·23)). Permanent stomas were significantly lower in the SEMS group (OR 0·49 (0·32-0·74)). Sensitivity analysis on three-year survival showed opposite outcomes, with a trend towards worse survival in the SEMS group when only RCTs are taken into account. In conclusion, when in experienced hands, SEMS placement as BTS seems oncologically safe.
Copyright © 2018 Elsevier B.V. All rights reserved.

Entities:  

Keywords:  Colon cancer; Colonic obstruction; Emergency surgery; SEMS; Stent; Survival

Mesh：

Year:  2018        PMID： 30293707     DOI： 10.1016/j.critrevonc.2018.08.003

Source DB:  PubMed          Journal:  Crit Rev Oncol Hematol        ISSN： 1040-8428            Impact factor:   6.312


  22 in total

1.  The Controlling Nutritional Status (CONUT) Score as a prognostic factor for obstructive colorectal cancer patients received stenting as a bridge to curative surgery.

Authors:  Ryuichiro Sato; Masaya Oikawa; Tetsuya Kakita; Takaho Okada; Tomoya Abe; Takashi Yazawa; Haruyuki Tsuchiya; Naoya Akazawa; Masaki Sato; Tetsuya Ohira; Yoshihiro Harada; Haruka Okano; Kei Ito; Takashi Tsuchiya
Journal:  Surg Today       Date:  2020-07-04       Impact factor: 2.549

2.  Comparison of Decompressing Stoma vs Stent as a Bridge to Surgery for Left-Sided Obstructive Colon Cancer.

Authors:  Joyce V Veld; Femke J Amelung; Wernard A A Borstlap; Emo E van Halsema; Esther C J Consten; Peter D Siersema; Frank Ter Borg; Edwin S van der Zaag; Johannes H W de Wilt; Paul Fockens; Wilhelmus A Bemelman; Jeanin E van Hooft; Pieter J Tanis
Journal:  JAMA Surg       Date:  2020-03-01       Impact factor: 14.766

3.  Long-term tumour outcomes of self-expanding metal stents as 'bridge to surgery' for the treatment of colorectal cancer with malignant obstruction: a systematic review and meta-analysis.

Authors:  Yinghao Cao; Junnan Gu; Shenghe Deng; Jiang Li; Ke Wu; Kailin Cai
Journal:  Int J Colorectal Dis       Date:  2019-09-12       Impact factor: 2.571

Review 4.  Controversies of colonic stenting in obstructive left colorectal cancer: a critical analysis with meta-analysis and meta-regression.

Authors:  Vernicia Shu Qi Neo; Sneha Rajiv Jain; Jun Wei Yeo; Cheng Han Ng; Tiffany Rui Xuan Gan; Emile Tan; Choon Seng Chong
Journal:  Int J Colorectal Dis       Date:  2021-01-25       Impact factor: 2.571

5.  Perioperative and oncologic outcomes of interval colectomy performed by acute care surgeons after stenting as a bridge to surgery for left-sided malignant colonic obstruction are non-inferior to the outcomes of colorectal surgeons in the elective setting: single center experience.

Authors:  J M Aranda-Narváez; J González-Cano; A J González-Sánchez; A Titos-García; I Cabrera-Serna; L Romacho-López; I González-Poveda; S Mera-Velasco; L Vázquez-Pedreño; J Santoyo-Santoyo
Journal:  Eur J Trauma Emerg Surg       Date:  2022-06-16       Impact factor: 3.693

6.  Prognostic significance of the mean corpuscular volume (MCV) and red cell distribution width (RDW) in obstructive colorectal cancer patients with a stent inserted as a bridge to curative surgery.

Authors:  Ryuichiro Sato; Masaya Oikawa; Tetsuya Kakita; Takaho Okada; Tomoya Abe; Takashi Yazawa; Haruyuki Tsuchiya; Naoya Akazawa; Shingo Yoshimachi; Tetsuya Ohira; Yoshihiro Harada; Haruka Okano; Kei Ito; Takashi Tsuchiya
Journal:  Surg Today       Date:  2022-04-19       Impact factor: 2.549

7.  A decreased preoperative platelet-to-lymphocyte ratio, systemic immune-inflammation index, and pan-immune-inflammation value are associated with the poorer survival of patients with a stent inserted as a bridge to curative surgery for obstructive colorectal cancer.

Authors:  Ryuichiro Sato; Masaya Oikawa; Tetsuya Kakita; Takaho Okada; Tomoya Abe; Haruyuki Tsuchiya; Naoya Akazawa; Tetsuya Ohira; Yoshihiro Harada; Haruka Okano; Kei Ito; Takashi Tsuchiya
Journal:  Surg Today       Date:  2022-08-20       Impact factor: 2.540

Review 8.  Perineural invasion is increased in patients receiving colonic stenting as a bridge to surgery: a systematic review and meta-analysis.

Authors:  I Balciscueta; Z Balciscueta; N Uribe; E García-Granero
Journal:  Tech Coloproctol       Date:  2020-11-17       Impact factor: 3.781

9.  The Association of Coloproctology of Great Britain and Ireland consensus guidelines in emergency colorectal surgery.

Authors:  Andrew S Miller; Kathryn Boyce; Benjamin Box; Matthew D Clarke; Sarah E Duff; Niamh M Foley; Richard J Guy; Lisa H Massey; George Ramsay; Dominic A J Slade; James A Stephenson; Phil J Tozer; Danette Wright
Journal:  Colorectal Dis       Date:  2021-02       Impact factor: 3.917

10.  Comparison of self-expandable metallic stent placement followed by laparoscopic resection and elective laparoscopic surgery without stent placement for left-sided colon cancer.

Authors:  Tomoyuki Ueki; Toru Miyake; Masatsugu Kojima; Sachiko Kaida; Hiroya Iida; Tomoharu Shimizu; Masaji Tani
Journal:  Ann Gastroenterol Surg       Date:  2021-01-15
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