Brief Article
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World J Gastroenterol. Sep 7, 2013; 19(33): 5513-5519
Published online Sep 7, 2013. doi: 10.3748/wjg.v19.i33.5513
Self-expandable metallic stent placement plus laparoscopy for acute malignant colorectal obstruction
Jia-Min Zhou, Li-Qing Yao, Jian-Min Xu, Mei-Dong Xu, Ping-Hong Zhou, Wei-Feng Chen, Qiang Shi, Zhong Ren, Tao Chen, Yun-Shi Zhong
Jia-Min Zhou, Yun-Shi Zhong, Mei-Dong Xu, Ping-Hong Zhou, Wei-Feng Chen, Qiang Shi, Zhong Ren, Tao Chen, Li-Qing Yao, Department of Endoscopic Center, Zhongshan Hospital, Fudan University, Shanghai 200032, China
Jian-Min Xu, Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China
Author contributions: Zhou JM, Yao LQ and Xu JM contribute equally to this study; Zhou JM, Zhong YS and Yao LQ designed the study; Xu JM performed the operation; Zhong YS, Xu MD, Zhou PH, Chen WF and Yao LQ performed the endoscopy; Zhou JM, Shi Q, Ren Z and Chen T analyzed the data and wrote the manuscript.
Supported by National Natural Science Funds of China, No. 81101566; and Scientific Funds of Shanghai Government, 11DZ2280400, 12QA1400600, XYQ2011017, 11411950500
Correspondence to: Dr. Yun-Shi Zhong, Department of Endoscopic Center, Zhongshan Hospital, Fudan University, 136 Yi Xue Yuan Road, Shanghai 200032, China. zhongamy2002@126.com
Telephone: +86-21-64041990 Fax: +86-21-64038038
Received: March 18, 2013
Revised: June 17, 2013
Accepted: July 17, 2013
Published online: September 7, 2013
Processing time: 175 Days and 9.2 Hours
Core Tip

Core tip: Our study compared long-term survival between left-sided colorectal cancer (CRC) patients with acute colorectal obstruction (ACO) who had undergone self-expandable metallic stent (SEMS) placement followed by one-stage laparoscopic (stent-laparoscopy group) and open resection (stent-open group). Long-term survival in left-sided CRC patients without ACO who had undergone laparoscopic resection (control group) was compared with the stent-laparoscopy group. A stent-laparoscopy approach did not reduce long-term survival by influencing CRC oncological characteristics. Surgery-related parameters and postoperative complications in the stent-laparoscopy group were also compared with those of the other two groups; the results indicated that SEMS placement did not influence subsequent laparoscopic procedures.