Research Article
Volume 5 Issue 2 - 2020
Self-Expandable Metal Stent as a Bridge to Surgery for the Management of Obstructing Colorectal Cancer - A Single Centre Experience
Ivelin Takorov1, Stefan Simeonovski1*, Zdravko Dunkov2, Ivan Popadijn2, Tsonka Lukanova1, Dimitria Vylcheva1, Dimitar Dimitrov1 and Maria Abrasheva3
1First Clinic of Abdominal Surgery, Military Medical Academy, Sofia, Bulgaria
2Clinic of Gastroenterology and Hepatology, Military Medical Academy, Sofia, Bulgaria
3Department of Anesthesiology and Intensive Care, Military Medical Academy, Sofia, Bulgaria
*Corresponding Author: Stefan Simeonovski, First Clinic of Abdominal Surgery, Military Medical Academy, Sofia, Bulgaria.
Received: March 21, 2021; Published: April 28, 2021




Abstract

Introduction: Placement of self-expandable metal stent (SEMS) as a bridge to surgery for malignant colorectal obstruction is quite feasible regarding short-term outcomes, but oncological and long-term outcomes are still debatable. The aim of this study is to present our experience and try to conclude whether this type of malignant colorectal obstruction management is applicable and safe.

Materials and Methods: Six patients with obstructive colorectal cancer who underwent SEMS placement were included in our study and several perioperative factors were assessed.

Results: Technical and clinical success rates were 100%, with no perioperative complications and two-year overall survival rate of the patients is 83.3%.

Conclusion: SEMS placement in patients with malignant colorectal obstruction as a bridge to surgery is an effective way of reaching elective surgery with primary anastomosis, but further investigations are needed regarding long term advantages of this procedure.

Keywords: Malignant Obstruction; Self-Expandable Metal Stent; Bridge to Surgery

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Citation: Ivelin Takorov., et al. “Self-Expandable Metal Stent as a Bridge to Surgery for the Management of Obstructing Colorectal Cancer - A Single Centre Experience”. EC Emergency Medicine and Critical Care 5.5 (2021): 36-43.

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