[Combination of self-expandable metallic stent insertion and laparoscopic surgery as a less invasive treatment of obstructive left-sided XXXX ].

@entity1 @entity5 @entity260 @entity3 @entity694 @entity34
The purpose of this study was to evaluate the outcome of treating obstructive left-sided @entity694 with a combination of self-expandable metallic stent(SEMS)insertion and laparoscopic surgery. Ten @entity1 were included in this study. Two @entity1 @entity694 , and eight had obstructive sigmoid @entity694 . The @entity1 had a SEMS inserted preoperatively as a bridge to surgery. Efficient decompression was achieved in all the @entity1 , without any complications. Normal oral intake was possible until the laparoscopic, or laparoscope-assisted, one-stage radical operation. The SEMS insertion did not affect the surgical maneuver or laparoscopic operation at all. None of the @entity1 developed any @entity260 . After surgery, five @entity1 were diagnosed with @entity34 and three @entity1 were diagnosed with @entity5 . The remaining two @entity1 had distant @entity3 (para-aortic lymph node and liver)and were diagnosed with Stage IVdisease. Chemotherapy was administered to the two @entity1 with Stage IVdisease after a comparatively early recovery from a less invasive surgical procedure. SEMS insertion appears to be an effective, less invasive decompression method. When used in combination with laparoscopic surgery, SEMS insertion appears to be a safe and less invasive method of treating obstructive left-sided @entity694 .
