Application of metal stent implantation with endoscope and X-ray fluoroscopy combined laparoscopic surgery in the treatment of acute left hemicolon cancer obstruction

doi:10.1186/s12957-023-03228-x

科研成果详情

题名	Application of metal stent implantation with endoscope and X-ray fluoroscopy combined laparoscopic surgery in the treatment of acute left hemicolon cancer obstruction
作者	Zhou, Xiao-Cong1; Ke, Fei-Yue2; Dhamija, Gaurav 3; Viroja, Ruchi D.3; Huang, Chun-Wei 4
发表日期	2023-10-21
发表期刊	World journal of surgical oncology 影响因子和分区
语种	英语
原始文献类型	Journal Article
关键词	Cancerous obstruction Endoscope Laparoscopic surgery Metal stent implantation
其他关键词	LARGE-BOWEL OBSTRUCTION ; MALIGNANT COLONIC OBSTRUCTION ; COLORECTAL-CANCER ; EMERGENCY-SURGERY ; BRIDGE ; PLACEMENT ; RESECTION ; COLECTOMY ; INSERTION ; SAFETY
摘要	This study aimed to conduct a case-control study of endoscopic and fluoroscopic metal stent placement combined with laparoscopic surgery versus conventional open Hartmann's procedure in treating acute left-sided colon cancer obstruction. Additionally, the study aims to discuss the application value of endoscopic and X-ray-guided metal stent placement combined with laparoscopic surgery in the treatment of acute left-sided colon cancer obstruction., From June 2011 to December 2019, 23 patients with acute left-sided colon cancer obstruction who underwent metal stent implantation combined with laparoscopic surgery under endoscopy and X-ray fluoroscopy in Wenzhou Central Hospital were collected, and 20 patients with acute left-sided colon cancer obstruction who underwent traditional emergency open Hartmann's surgery during the same period were selected as a control group. All patients were diagnosed with left colon obstruction by plain abdominal film and/or CT before the operation and colon adenocarcinoma by colonoscopic biopsy and/or postoperative pathology. The operation time, intraoperative blood loss, postoperative anal exhaust time, the success rate of one-stage anastomosis, postoperative hospital stay, and postoperative complications were compared between the two groups., This study showed a significant difference in the therapeutic effect between the two groups. Compared with the traditional Hartmann's operation group, the success rate of one-stage anastomosis in endoscopic and X-ray-guided metal stent placement combined with the laparoscopic operation group was significantly higher than that in the Hartmann's operation group (P < 0.05). The overall incidence of postoperative complications and hospital stay were significantly lower in the observation group than in the Hartmann's group (P < 0.05). Further subgroup analysis of the overall postoperative complication rate of the two groups showed that the traditional Hartmann's operation group was more likely to have an incomplete intestinal obstruction (P < 0.05). This study also showed no significant differences between the two groups in operation time, intraoperative blood loss, number of harvested lymph nodes, and postoperative anal exhaust time (all P > 0.05). This study also found no significant differences between the two groups in overall survival rates or recurrence-free survival rates (all P > 0.05)., The comparison of the therapeutic effects of the two groups verified the feasibility of endoscopy combined with X-ray fluoroscopy metal stent placement in combination with laparoscopic surgery in the treatment of acute left-sided colon cancer obstruction. Compared with the traditional emergency open Hartmann's procedure, metal stent implantation under endoscopy and X-ray fluoroscopy combined with laparoscopic surgery is more minimally invasive, safe, and effective. It avoids the traditional second or even third surgical trauma to effectively improve the quality of life of patients, so that patients can recover quickly after surgery.
资助项目	None.
出版者	BMC
ISSN	1477-7819
EISSN	1477-7819
卷号	21 期号:1
DOI	10.1186/s12957-023-03228-x
页数	10
WOS类目	Oncology ; Surgery
WOS研究方向	Oncology ; Surgery
WOS记录号	WOS:001099701600001
收录类别	PUBMED ; SCOPUS ; SCIE
URL	查看原文
PubMed ID	37865772
SCOPUSEID	2-s2.0-85174517370
通讯作者地址	[Huang, Chun-Wei]Department of Gastroenterology,The Dingli Clinical Institute of Wenzhou Medical University (Wenzhou Central Hospital),No.252, Baili East Road, Zhejiang,Wenzhou,325000,China
Scopus学科分类	Surgery;Oncology
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/183659
专题	温州医科大学国际教育学院
通讯作者	Huang, Chun-Wei
作者单位	1.Department of Colorectal Surgery,The Dingli Clinical Institute of Wenzhou Medical University (Wenzhou Central Hospital),Zhejiang,Wenzhou,China; 2.Postgraduate Training Base Alliance of Wenzhou Medical University (Wenzhou Central Hospital),Zhejiang,Wenzhou,China; 3.School of International Studies,Wenzhou Medical University,Zhejiang,Wenzhou,China; 4.Department of Gastroenterology,The Dingli Clinical Institute of Wenzhou Medical University (Wenzhou Central Hospital),No.252, Baili East Road, Zhejiang,Wenzhou,325000,China
第一作者单位	温州医科大学
通讯作者单位	温州医科大学
第一作者的第一单位	温州医科大学
推荐引用方式 GB/T 7714	Zhou, Xiao-Cong,Ke, Fei-Yue,Dhamija, Gaurav,et al. Application of metal stent implantation with endoscope and X-ray fluoroscopy combined laparoscopic surgery in the treatment of acute left hemicolon cancer obstruction[J]. World journal of surgical oncology,2023,21(1).
APA	Zhou, Xiao-Cong, Ke, Fei-Yue, Dhamija, Gaurav, Viroja, Ruchi D., & Huang, Chun-Wei. (2023). Application of metal stent implantation with endoscope and X-ray fluoroscopy combined laparoscopic surgery in the treatment of acute left hemicolon cancer obstruction. World journal of surgical oncology, 21(1).
MLA	Zhou, Xiao-Cong,et al."Application of metal stent implantation with endoscope and X-ray fluoroscopy combined laparoscopic surgery in the treatment of acute left hemicolon cancer obstruction".World journal of surgical oncology 21.1(2023).