Propensity score-matched analysis of oncological outcome between stent as bridge to surgery and emergency resection in patients with malignant left-sided colonic obstruction

作者：Femke Julie Amelung, Wernard A. A. Borstlap, Esther C. J. Consten, Joyce Valerie Veld, Emo E. van Halsema, Willem Adrianus Bemelman, Peter Derk Siersema, Frank ter Borg, Jeanin Elise van Hooft, Pieter Job Tanis, H Algera, G. D. Algie, C S Andeweg, Tanja E. Argillander, Melissa N. N. Arron, K Arts, T H J Aufenacker, Ilsalien S. Bakker, M Basten Batenburg, Antonius J. N. M. Bastiaansen, Geerard L. Beets, Andrew James Berg, B A W van den Beukel, Rachel L. G. M. Blom, Bjørn Blomberg, Evert-Jan Gijsbert Boerma, Frank C. den Boer, Nicole D. Bouvy, Johanna E. Bouwman, N D A Boye, Alexandra Brandt, Henk Thijs Brandsma, A Breijer, W.T. van den Broek, Mirelle Bröker, Johannes P.M. Burbach, Emma R.J. Bruns, Thijs A. Burghgraef, Rogier M. P. H. Crolla, Mikkel Seidelin Dam, Lidewine Daniels, Jan Willem T. Dekker, Ahmet Demirkıran, Koen Willem van Dongen, Selim Durmaz, Anouk Esch, Jeroen A. van Essen, J. W. Foppen, Edgar J.B. Furnée, A. A. W. van Geloven, Michael F. Gerhards, Erwin A. Gorter, Wilhelmina M. U. van Grevenstein, Julia T. van Groningen, Irene de Groot, Hester Eline Haak, J W A de Haas, Pieter van Hagen, Jenneke T. H. Hamminga, Klaas Havenga, Berber Van Den Hengel, E. van der Harst, Jeroen Heemskerk, Jos Heeren, Bob H. M. Heijnen, Luc A. Heijnen, Joost T. Heikens, Maarten van Heinsbergen, Daniël A. Hess, N Heuchemer, Christiaan Hoff, Wouter Hogendoorn, Alexander P. J. Houdijk, Niek Hugen, Bas Inberg, Ties L. Janssen, D Jean Pierre, Willem-Jan J. de Jong, Audrey C. H. M. Jongen, Arnoud V. Kamman, Joost M. Klaase, Wendy Kelder, Emil F Kelling, R. Klicks, Guus W. de Klein, Frank W.H. Kloppenberg, Joop Konsten, Laura J. E. R. Koolen, Verena N. N. Kornmann, Robert T. J. Kortekaas, A Kreiter, Bas Lamme, Johan Frederik Lange, Tanja Lettinga, Daniel J. Lips, Gavin Lo, F. Logeman, Yu‐Ting van Loon, Martijn F. Lutke Holzik, C. C. M. Marres, Ilse Masselink, Amir Mearadji, G Meisen, Anand G. Menon, Jos W.S. Merkus, Dietrich J. L. de Mey, H.C.J. van der Mijle, Daan E. Moes, Charlotte J. L. Molenaar, M J Nieboer, Kirstine Lykke Nielsen, Grard A. P. Nieuwenhuijzen, Peter A. Neijenhuis, Pim J. A. Oomen, N. van Oorschot, Kevin Parry, Koen C.M.J. Peeters, T Paulides, Ida Paulusma, Floris B. Poelmann, Sebastiaan W. Polle, Pieter Poortman, Michael Robert Raber, R J Renger, Beata M. M. Reiber, R Roukema, Winanda M.J. de Ruijter, M.J.A.M. Russchen, Harm J. T. Rutten, Jai Scheerhoorn, S Scheurs, H Schippers, Valérie Nicole Elise Schuermans, Henk Jan Schuijt, Joanne C Sierink, Colin Sietses, Rob Silvis, Jasper van der Slegt, Gerrit Dirk Slooter, Martsje van der Sluis, Pieter Christiaan van der Sluis, Niels Smakman, Derrick P. Smit, T.C. van Sprundel, Dirk J. A. Sonneveld, C. Steur, Jennifer Straatman, Marie-Chantal Struijs, Hilko A. Swank, Aaldert K Talsma, Mark Tenhagen, Johanna A.M.G. Tol, Jip L. Tolenaar, Larissa N. L. Tseng, Jurriaan B. Tuynman, M. J. F. van Veen, Suzanne H. C. Veltkamp, Anthony W. H. van de Ven, L Verkoele, Maarten Vermaas, H. P. Versteegh, L Versluijs, Timothy S.Q. Visser, Dominique J P van Uden, Wouter J. Vles, R Vos tot Nederveen Cappel, Hilbert S. de Vries, Sebastiaan T. van Vugt, Guusje Vugts, Johannes A. Wegdam, Teus J. Weijs, Bob J. van Wely, Charlotte L. Werker, Marinke Westerterp, Henderik Leendert van Westreenen, B. Wiering, Niels A. T. Wijffels, A A Wijkman, Leontine H. Wijngaarden, Johannes H.W. de Wilt, Marc Wilt, Daniel Derk Wisselink, Fennie Wit, Edwin S. van der Zaag, David D. E. Zimmerman, T L R Zwols · 发表于：British journal of surgery · 年份：2019 · DOI：10.1002/bjs.11172 · 被引用次数：106 · 研究领域：Colorectal Cancer Surgical Treatments、Esophageal and GI Pathology、Anorectal Disease Treatments and Outcomes

BACKGROUND: Although self-expandable metal stent (SEMS) placement as bridge to surgery (BTS) in patients with left-sided obstructing colonic cancer has shown promising short-term results, it is used infrequently owing to uncertainty about its oncological safety. This population study compared long-term oncological outcomes between emergency resection and SEMS placement as BTS. METHODS: Through a national collaborative research project, long-term outcome data were collected for all patients who underwent resection for left-sided obstructing colonic cancer between 2009 and 2016 in 75 Dutch hospitals. Patients were identified from the Dutch Colorectal Audit database. SEMS as BTS was compared with emergency resection in the curative setting after 1 : 2 propensity score matching. RESULTS: Some 222 patients who had a stent placed were matched to 444 who underwent emergency resection. The overall SEMS-related perforation rate was 7·7 per cent (17 of 222). Three-year locoregional recurrence rates after SEMS insertion and emergency resection were 11·4 and 13·6 per cent (P = 0·457), disease-free survival rates were 58·8 and 52·6 per cent (P = 0·175), and overall survival rates were 74·0 and 68·3 per cent (P = 0·231), respectively. SEMS placement resulted in significantly fewer permanent stomas (23·9 versus 45·3 per cent; P < 0·001), especially in elderly patients (29·0 versus 57·9 per cent; P < 0·001). For patients in the SEMS group with or without perforation, 3-year locoregional recu...