Preoperative decompression for left-sided obstructive colorectal cancer: a comparative study between a stent and a decompression tube
Introduction: Stents 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. Aim: The aim of this...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Medycyna Praktyczna
2025-07-01
|
| Series: | Videosurgery and Other Miniinvasive Techniques |
| Subjects: | |
| Online Access: | https://www.mp.pl/videosurgery/issue/article/17956/ |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849417669980192768 |
|---|---|
| author | Xin-Chun Guo Qiang Lu Yu-Fei Fu Xin Lu |
| author_facet | Xin-Chun Guo Qiang Lu Yu-Fei Fu Xin Lu |
| author_sort | Xin-Chun Guo |
| collection | DOAJ |
| description | Introduction: Stents 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.
Aim: The 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 methods: The 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.
Results: Among 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.
Conclusions: Both 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. |
| format | Article |
| id | doaj-art-d5a912ca037e4b5b87ec4f28cf8ff808 |
| institution | Kabale University |
| issn | 1895-4588 2299-0054 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Medycyna Praktyczna |
| record_format | Article |
| series | Videosurgery and Other Miniinvasive Techniques |
| spelling | doaj-art-d5a912ca037e4b5b87ec4f28cf8ff8082025-08-20T03:32:41ZengMedycyna PraktycznaVideosurgery and Other Miniinvasive Techniques1895-45882299-00542025-07-0120217217610.20452/wiitm.2025.17956Preoperative decompression for left-sided obstructive colorectal cancer: a comparative study between a stent and a decompression tubeXin-Chun Guo0Qiang Lu1Yu-Fei Fu2Xin Lu3Department of Interventional Radiology, Jiangyin Hospital Affiliated with Nantong University, Jiangyin, ChinaDepartment of Radiology, Xuzhou Central Hospital, Xuzhou, ChinaDepartment of Radiology, Xuzhou Central Hospital, Xuzhou, ChinaDepartment of Radiology, Xuzhou Central Hospital, Xuzhou, ChinaIntroduction: Stents 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. Aim: The 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 methods: The 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. Results: Among 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. Conclusions: Both 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.https://www.mp.pl/videosurgery/issue/article/17956/colorectal cancerdecompression tubeobstructiveoncologystent |
| spellingShingle | Xin-Chun Guo Qiang Lu Yu-Fei Fu Xin Lu Preoperative decompression for left-sided obstructive colorectal cancer: a comparative study between a stent and a decompression tube Videosurgery and Other Miniinvasive Techniques colorectal cancer decompression tube obstructive oncology stent |
| title | Preoperative decompression for left-sided obstructive colorectal cancer: a comparative study between a stent and a decompression tube |
| title_full | Preoperative decompression for left-sided obstructive colorectal cancer: a comparative study between a stent and a decompression tube |
| title_fullStr | Preoperative decompression for left-sided obstructive colorectal cancer: a comparative study between a stent and a decompression tube |
| title_full_unstemmed | Preoperative decompression for left-sided obstructive colorectal cancer: a comparative study between a stent and a decompression tube |
| title_short | Preoperative decompression for left-sided obstructive colorectal cancer: a comparative study between a stent and a decompression tube |
| title_sort | preoperative decompression for left sided obstructive colorectal cancer a comparative study between a stent and a decompression tube |
| topic | colorectal cancer decompression tube obstructive oncology stent |
| url | https://www.mp.pl/videosurgery/issue/article/17956/ |
| work_keys_str_mv | AT xinchunguo preoperativedecompressionforleftsidedobstructivecolorectalcanceracomparativestudybetweenastentandadecompressiontube AT qianglu preoperativedecompressionforleftsidedobstructivecolorectalcanceracomparativestudybetweenastentandadecompressiontube AT yufeifu preoperativedecompressionforleftsidedobstructivecolorectalcanceracomparativestudybetweenastentandadecompressiontube AT xinlu preoperativedecompressionforleftsidedobstructivecolorectalcanceracomparativestudybetweenastentandadecompressiontube |