Background: The placement of a metallic stent as a bridge to surgery (SBTS) could represents an option for the treatment of left-sided malignant colonic obstruction in centres with adequate skills. Several metaanalyses demonstrated better short-term outcomes after SBTS when compared with emergency surgery (ES); however, some studies reported a higher local recurrence rate. The aim of the present review is to investigate the long-term outcomes of stent bridge to surgery as compared to ES. Methods: A systematic review was performed to retrieve studies comparing long-term oncologic outcomes of SBTS and ES. Local and overall recurrence rate, overall and disease-free survival were retrieved and results were expressed as risk ratios. Results: Seventeen studies and a total of 1,333 patients were included in the analysis. No significant differences were reported in recurrence rate [risk ratio (RR) =1.11; 95% confidence interval (95% CI): 0.84- 1.47, P=0.47], 3-year mortality (RR =0.90; 95% CI: 0.73-1.12, P=0.34) and 5-year mortality (RR =1.00; 95% CI: 0.82-1.22, P=0.99). There were no differences among randomized and observational studies. Conclusions: SBTS has similar long-term oncologic outcomes to ES and in centres with appropriate skill should be considered the best treatment option for left-sided malignant colonic obstructions.

Ceresoli, M., Allievi, N., Coccolini, F., Montori, G., Fugazzola, P., Pisano, M., et al. (2017). Long-term oncologic outcomes of stent as a bridge to surgery versus emergency surgery in malignant left side colonic obstructions: A meta-analysis. JOURNAL OF GASTROINTESTINAL ONCOLOGY, 8(5), 867-876 [10.21037/jgo.2017.09.04].

Long-term oncologic outcomes of stent as a bridge to surgery versus emergency surgery in malignant left side colonic obstructions: A meta-analysis

Ceresoli M.
;
Ansaloni L.
2017

Abstract

Background: The placement of a metallic stent as a bridge to surgery (SBTS) could represents an option for the treatment of left-sided malignant colonic obstruction in centres with adequate skills. Several metaanalyses demonstrated better short-term outcomes after SBTS when compared with emergency surgery (ES); however, some studies reported a higher local recurrence rate. The aim of the present review is to investigate the long-term outcomes of stent bridge to surgery as compared to ES. Methods: A systematic review was performed to retrieve studies comparing long-term oncologic outcomes of SBTS and ES. Local and overall recurrence rate, overall and disease-free survival were retrieved and results were expressed as risk ratios. Results: Seventeen studies and a total of 1,333 patients were included in the analysis. No significant differences were reported in recurrence rate [risk ratio (RR) =1.11; 95% confidence interval (95% CI): 0.84- 1.47, P=0.47], 3-year mortality (RR =0.90; 95% CI: 0.73-1.12, P=0.34) and 5-year mortality (RR =1.00; 95% CI: 0.82-1.22, P=0.99). There were no differences among randomized and observational studies. Conclusions: SBTS has similar long-term oncologic outcomes to ES and in centres with appropriate skill should be considered the best treatment option for left-sided malignant colonic obstructions.
Articolo in rivista - Articolo scientifico
Colonic obstruction; Colonic stent; Emergency surgery (ES); Long-term outcomes;
Colonic obstruction; Colonic stent; Emergency surgery (ES); Long-term outcomes
English
867
876
10
Ceresoli, M., Allievi, N., Coccolini, F., Montori, G., Fugazzola, P., Pisano, M., et al. (2017). Long-term oncologic outcomes of stent as a bridge to surgery versus emergency surgery in malignant left side colonic obstructions: A meta-analysis. JOURNAL OF GASTROINTESTINAL ONCOLOGY, 8(5), 867-876 [10.21037/jgo.2017.09.04].
Ceresoli, M; Allievi, N; Coccolini, F; Montori, G; Fugazzola, P; Pisano, M; Sartelli, M; Catena, F; Ansaloni, L
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/283957
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