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Published on: December 18, 2010
Preoperative Colonic Decompression With Decompression Tube Insertion Versus Stent Insertion in Patients With
Yuan-Shun Xu1, Yu-Fei Fu1, De-Chun Li1
1Departments of Radiology.
Purpose:
To compare the clinical effectiveness of preoperative colonic decompression (PCD) performed with stent or decompression tube insertion in patients with malignant left colonic obstruction (MLCO).
Materials And Methods:
Between September 2014 and September 2018, 63 patients with MLCO underwent PCD (decompression tube: 35; stent: 28) in our center. Elective surgery was performed for patients with clinical success of PCD.
Results:
The rates of technical success for PCD with tube and stent insertion were 91.4% (32/35) and 96.4% (27/28), respectively (P=0.773). Clinical success rates for PCD with tube and stent insertion were 90.6% (29/32) and 85.2% (23/27), respectively (P=0.811). Tumor resection with primary anastomosis was performed in all patients with clinical success in both groups. No significant differences were found between 2 groups regarding the duration of surgery and rates of postoperative complications.
Conclusion:
Decompression tube and stent insertion had similar effectiveness for PCD in patients with MLCO.
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