[Endoscopic treatment of advanced left colon cancer by stenting]

The aim of research is studying of technical capability of colorectal stenting, its clinical efficiency in permission of obstruction and an assessment of technique safety. Between October 2007 and January 2014 endoscopic stenting by self-expanding metal endoprostheses was successfully performed in 19 patients aged from 29 till 83 years with malig- nant stenoses of the left colon. Treatment was carried out in the endoscopic department of the Federal State Budgetary Institution "Petrovsky National Research Center of Surgery" under the Russian Academy of Medical Sciences. The colonic stent placement reached two intends: pre-operative decompression as the first stage of the treatment, allowing to prepare the patient safely to the surgical procedure without colostomy (6) and palliation in those cases in which the clin- ical condition is not feasible (13). In all patients stent insertion was technically successful. Common complication rate was 15.8% (3/19). Colorectal stenting in patients with bowel obstruction is absolutely justified due to allowing considerable life quality improving in inoperable patients and avoiding two-stage surgical treatment.