Malignant colonic obstruction managed by endoscopic stent decompression followed by laparoscopic resections

Morino, Mario; Bertello, Alberto; Garbarini, A; Rozzio, G; Repici, A.

doi:10.1007/s00464-001-9182-7

Cited by 76 publications

(58 citation statements)

References 13 publications

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“…Treatment options depend on the patient's condition, site of obstruction, extent of disease, and life expectancy. Although palliative resection or decompressive colostomy remains the standard, alternative noninvasive treatments also should be considered.Self-expandable metallic stent (SEMS) placement in patients with acute colorectal obstruction is a minimally invasive procedure and obviates the need for colostomy for evacuation, relieving physical and psychological burden and contributing to improvement of quality of life [1,4,9]. SEMS placement has been reported to be a safe and highly effective alternative in patients with unresectable colorectal obstruction [2, 3, 6, 7].…”

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confidence: 99%

“…Self-expandable metallic stent (SEMS) placement in patients with acute colorectal obstruction is a minimally invasive procedure and obviates the need for colostomy for evacuation, relieving physical and psychological burden and contributing to improvement of quality of life [1,4,9]. SEMS placement has been reported to be a safe and highly effective alternative in patients with unresectable colorectal obstruction [2, 3, 6, 7].…”

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confidence: 99%

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Comparison of stent placement and colostomy as palliative treatment for inoperable malignant colorectal obstruction

et al. 2004

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confidence: 99%

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confidence: 99%

Comparison of stent placement and colostomy as palliative treatment for inoperable malignant colorectal obstruction

et al. 2004

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“…An endoluminal stent per se does not necessarily preclude a laparoscopic approach. [16][17][18][19][20] In this study, laparoscopic resection was technically feasible and comparable to elective colorectal operations, and the presence of a colorectal stent did not affect the laparoscopic approach; 11 patients underwent a successful laparoscopic colorectal resection. SEMS may also provide long-term symptom relief for benign colorectal strictures secondary to diverticular disease, radiotherapy, inflammation, or Crohn's disease, should these patients be deemed medically unfit to undergo a major abdominal operation.…”

Section: Discussionmentioning

confidence: 66%

The role of colorectal stent placement in the management of acute malignant obstruction

Yanar¹,

Özçınar²,

Yanar³

et al. 2014

Ulus Travma Acil Cerrahi Derg

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“…Morino et al [14]recently presented a series of 4 similar cases of sigmoid tumors operated laparoscopically after stent placement without conversion with an average hospital stay of 5–7 days.…”

Section: Discussionmentioning

confidence: 99%

Minimally Invasive Treatment for Obstructive Tumors of the Left Colon: Endoluminal Self-Expanding Metal Stent and Laparoscopic Colectomy

Balagué¹,

Targarona²,

Sainz

et al. 2004

Dig Surg

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Background: Obstruction of the left colon may be the first manifestation of colorectal cancer. Resection of the colonic segment involved and the construction of an end colostomy (Hartman’s procedure) is the most frequent treatment. Alternatives to the placement of a stoma are subtotal colectomy or intraoperative lavage of the colon and primary anastomosis, but their application depends on intraoperative findings and the availability of a skilled surgeon. The use of an expandable stent (SEMS) can enhance the feasibility of laparoscopic colectomy, avoiding the need for a colostomy and offering the advantages of a combination of two minimally invasive procedures. Study Design: Between 1997 and 2004, an SEMS was placed in 11 cases of left colonic obstruction due to cancer, the obstruction being successfully resolved in each case. Seven patients were approached by laparoscopy to attempt the definitive colectomy. We evaluated the location and pathological characteristics of the tumor, effectiveness and complications of SEMS insertion, time interval between the insertion of SEMS and laparoscopic surgery, and postoperative data. Results: The tumors were situated in the recto-sigma (1 case), sigma (3 cases) and descending colon (3 cases). Immediate relief of the obstruction was achieved in all cases after SEMS insertion of the stent, and oral diet was started at 24 h. The 7 patients were operated on an average of 8 days (range 6–14) after insertion of the stent. Conversion to open surgery was necessary in one case for reasons not related to the stent. Conclusions: Preliminary results of the combination of SEMS and elective laparoscopic surgery demonstrate that the procedure is feasible and that it presents all the clinical advantages of a minimally invasive approach. The procedure is a valid alternative to traditional major urgent surgery.

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Malignant colonic obstruction managed by endoscopic stent decompression followed by laparoscopic resections

Cited by 76 publications

References 13 publications

Comparison of stent placement and colostomy as palliative treatment for inoperable malignant colorectal obstruction

Comparison of stent placement and colostomy as palliative treatment for inoperable malignant colorectal obstruction

The role of colorectal stent placement in the management of acute malignant obstruction

Minimally Invasive Treatment for Obstructive Tumors of the Left Colon: Endoluminal Self-Expanding Metal Stent and Laparoscopic Colectomy

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