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08:26
Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
Acute colonic obstruction: endoscopic stenting and laparoscopic resection
Stefano Olmi1, Alberto Scaini, Giovanni Cesana
1Department of General Surgery, Center for Laparoscopic and Minimally Invasive Surgery, Ospedale S. Gerardo, Monza, Italy. stefanoolmi@tiscali.it
Surgical Endoscopy
|May 5, 2007
Summary
Endoscopic self-expanding colonic stents effectively relieve acute obstruction, facilitating elective surgery or palliation for unresectable tumors. This minimally invasive approach ensures excellent colonic transit with no observed complications.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Interventional Endoscopy
Background:
- Acute colonic obstruction is a common surgical emergency.
- Endoscopic self-expanding stents offer a minimally invasive option for obstruction relief.
- Stenting can prepare patients for subsequent elective surgery or provide palliation.
Purpose of the Study:
- To evaluate the efficacy and safety of endoscopic self-expanding colonic stents in acute colonic obstruction.
- To assess the role of stenting in preparing patients for elective surgery.
- To determine the palliative benefit of stenting in unresectable cases.
Main Methods:
- A cohort of 25 patients with acute left or transverse colonic obstruction was treated between September 2001 and March 2006.
- Self-expanding stents were placed in 24 patients, with 23 intended for subsequent elective resection.
- Two patients with unresectable disease received stents for palliation.
Main Results:
- Stents were successfully placed in 24 of 25 patients, achieving excellent resumption of colonic transit.
- No complications were observed related to stent placement.
- Of 23 patients undergoing resection, 19 had laparoscopic procedures with shorter hospital stays compared to open surgery.
Conclusions:
- Endoscopic self-expanding colonic stents are effective for acute obstruction palliation and preparation for elective surgery.
- The procedure demonstrates a high success rate and a favorable safety profile.
- Stenting provides a valuable option for both curative and palliative management of colonic strictures.
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