Stenting as a Bridge to Surgery for Obstructive XXXX : Does It Have Surgical Merit or Oncologic Demerit?

@entity1 @entity4222 @entity281 @entity3 @entity694
PURPOSE: To evaluate the surgical and oncologic outcomes of @entity1 undergoing self-expandable metallic stent (SEMS) placement with elective curative surgery. METHODS: Data from @entity1 admitted with obstructing @entity694 between 2000 and 2012 were analyzed retrospectively. @entity1 underwent either SEMS placement as a bridge to surgery (stent group, n  =  67) or emergency surgery (surgery group, n  =  35). Surgical and oncologic outcomes of the groups were compared. RESULTS: Placement of SEMS was technically successful in 98.5  % and clinically successful in 89.6  % of cases. There were eight (11.9  %) stent-related complications, including three @entity4222 (4.5  %), four occlusions (6.0  %), and one perforation (1.5  %). The stent group had a higher laparoscopic resection rate (67.2 vs. 31.4  %, p  =  0.001) with a lower conversion rate (4.3 vs. 35.3  %, p  =  0.003). The wound @entity281 rate was significantly higher in the surgery group (37.1 vs. 11.9  %, p  =  0.003) with no differences in the rate of other complications. The rates of local recurrence and distant @entity3 , recurrence-free, and overall survival were not significantly different between the two groups. CONCLUSIONS: Stenting and elective surgery was associated with a higher laparoscopy rate, a lower conversion rate, and a lower wound @entity281 rate compared to emergency surgery but did not affect recurrence or survival.
