the safety and efficiency of surgery with colonic stents in left-sided malignant colonic obstruction: a meta-analysis
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ID: 194587
2014
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Abstract
Objective. This meta-analysis is aimed at assessing the safety and efficiency of colonic self-expanding metallic stents (SEMS) used as a bridge to surgery in the management of left-sided malignant colonic obstruction (LMCO). Methods. A systematic search was conducted in PubMed, Web of Knowledge, OVID, Google Scholar, CNKI, and WANGFANG for relevant randomized trials comparing colonic stenting used as a bridge in semielective surgery versus emergency surgery from January 2001 to September 2013. Result. Five published studies were included in this systematic review, including 273 patients (140 male/133 female). 136 patients received semielective surgery after SEMS installation while 137 patients underwent emergency surgery without SEMS. SEMS intervention resulted in significantly lower overall colostomy rate (41.9% versus 56.2%, P=0.02), surgical site infection rate (10.2% versus 19.7%, P=0.03), and overall complication rate (29.2% versus 60.5%, P=0.05). There was no statistic difference for the rate of primary anastomosis, anastomotic leak and operation-related mortality between two groups. Conclusions. semielective surgery with SEMS as a bridge for proper patients of LMCO can lower the overall rate for colostomy, surgical site infection, and complications.
| Reference Key |
zhao2014gastroenterologythe
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|---|---|
| Authors | ;Xiang Zhao;Bo Liu;Ende Zhao;Jiliang Wang;Ming Cai;Zefeng Xia;Qinghua Xia;Xiaoming Shuai;Kaixiong Tao;Guobin Wang;Kailin Cai |
| Journal | colloids and surfaces a: physicochemical and engineering aspects |
| Year | 2014 |
| DOI |
10.1155/2014/407325
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| URL | |
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