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Journal of Gastrointestinal Surgery

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01-08-2014 | Original Article

Outcomes for Patients with Obstructing Colorectal Cancers Treated with One-Stage Surgery Using Transanal Drainage Tubes

Authors: Kohei Shigeta, Hideo Baba, Kazuo Yamafuji, Hiroyuki Kaneda, Hideyuki Katsura, Kiyoshi Kubochi

Published in: Journal of Gastrointestinal Surgery | Issue 8/2014

Abstract

Background

Acute colorectal obstruction requires immediate surgical treatment. Although one-stage surgery with transanal drainage tubes (TDT) is reportedly safe and feasible, the long-term outcome of this procedure remains unclear.

Aim

To assess the outcome of one-stage surgery using TDT in the acute left colon or rectal obstructions due to colorectal carcinomas.

Methods

Clinicopathological data were recorded from patients with colorectal cancer with acute obstructions between 2006 and 2013.

Results

A total of 43 patients were enrolled including 29 males and 14 females. Among 39 patients, TDT was successful in 33 (84 %) and was incomplete in 6. Thus, 33 patients received one-stage surgery with TDT decompression, and 9 patients, including 6 with incomplete decompression, received one-stage surgery with no decompression. No significant differences in clinicopathological factors were observed between decompression and non-decompression groups. Adjusted analyses revealed that decompression using TDT was significantly associated with OS (hazard ratio 0.24; 95 % confidence interval, 0.08–0.72; p = 0.01). Furthermore, OS in the TDT decompression group was significantly longer than that in the non-decompression group (p = 0.01).

Conclusions

One-stage surgery with decompression using TDT may be effective to avoid stomas and to improve overall survival in patients with obstructing colorectal cancers.

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Title: Outcomes for Patients with Obstructing Colorectal Cancers Treated with One-Stage Surgery Using Transanal Drainage Tubes
Authors: Kohei Shigeta
Hideo Baba
Kazuo Yamafuji
Hiroyuki Kaneda
Hideyuki Katsura
Kiyoshi Kubochi
Publication date: 01-08-2014
Publisher: Springer US
Published in: Journal of Gastrointestinal Surgery / Issue 8/2014
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-014-2541-1

At a glance: The STEP trials

Springer Medicine

Outcomes for Patients with Obstructing Colorectal Cancers Treated with One-Stage Surgery Using Transanal Drainage Tubes

Abstract

Background

Aim

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Aim

Methods

Results

Conclusions

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