Gan to kagaku ryoho. Cancer & chemotherapy · 2024
[Perioperative and Medium-Term Outcome of Bridge to Surgery for Obstructive Colorectal Cancer].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод пока не подготовлен
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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
Аннотация
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.