Comparison of survival and perioperative outcome of the colonic stent and the transanal
      decompression tube placement and emergency surgery for left-sided obstructive colorectal
      cancer: a retrospective multi-center observational study “The CODOMO study”

There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

Abstract

Purpose

Advances in endoscopic technology have led to the reevaluation of self-expandable metallic stent (SEMS) placement as a bridge-to-surgery (BTS) in patients with obstructive colorectal cancer. In Japan, after inclusion of SEMS placement as a BTS in the medical insurance coverage in 2012, this procedure has been increasingly performed. However, a transanal decompression tube (TADT) placement has been used as a BTS. We aimed to retrospectively evaluate the optimal strategy for obstructive left-sided colorectal cancer (OLCRC) by comparing SEMS and TADT placement with emergency surgery.

Methods

We included 301 patients with stage II and III OLCRC from 27 institutions. The study patients were divided into Surgery group (emergency surgery, n = 103), SEMS group (BTS by SEMS, n = 113), and TADT group (BTS by TADT, n = 85). We compared the survival and perioperative outcomes of patients in the Surgery group as a standard treatment with those in the SEMS and TADT groups.

Results

The 3-year relapse-free survival rate in patients in the Surgery group was 74.8%, while that in patients in the SEMS group and TADT group were 69.0% ( p = 0.39) and 55.3% ( p = 0.006), respectively. The technical success rate was not statistically different, but the clinical success rate was significantly higher in the SEMS group than in the TADT group ( p = 0.0040). With regard to postoperative complications after curative surgery, the SEMS group had significantly lower of complications (≥ grade 2) than the Surgery group ( p = 0.022).

Conclusion

Patients who underwent SEMS placement for OLCRC had similar oncological outcomes to patients who underwent emergency surgery.

Related collections

Most cited references 33

Record: found
Abstract: found
Article: found

Global cancer statistics.

Ahmedin Jemal, Freddie Bray, Melissa M Center … (2011)

The global burden of cancer continues to increase largely because of the aging and growth of the world population alongside an increasing adoption of cancer-causing behaviors, particularly smoking, in economically developing countries. Based on the GLOBOCAN 2008 estimates, about 12.7 million cancer cases and 7.6 million cancer deaths are estimated to have occurred in 2008; of these, 56% of the cases and 64% of the deaths occurred in the economically developing world. Breast cancer is the most frequently diagnosed cancer and the leading cause of cancer death among females, accounting for 23% of the total cancer cases and 14% of the cancer deaths. Lung cancer is the leading cancer site in males, comprising 17% of the total new cancer cases and 23% of the total cancer deaths. Breast cancer is now also the leading cause of cancer death among females in economically developing countries, a shift from the previous decade during which the most common cause of cancer death was cervical cancer. Further, the mortality burden for lung cancer among females in developing countries is as high as the burden for cervical cancer, with each accounting for 11% of the total female cancer deaths. Although overall cancer incidence rates in the developing world are half those seen in the developed world in both sexes, the overall cancer mortality rates are generally similar. Cancer survival tends to be poorer in developing countries, most likely because of a combination of a late stage at diagnosis and limited access to timely and standard treatment. A substantial proportion of the worldwide burden of cancer could be prevented through the application of existing cancer control knowledge and by implementing programs for tobacco control, vaccination (for liver and cervical cancers), and early detection and treatment, as well as public health campaigns promoting physical activity and a healthier dietary intake. Clinicians, public health professionals, and policy makers can play an active role in accelerating the application of such interventions globally.

0 comments Cited 1916 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Japanese Society for Cancer of the Colon and Rectum (JSCCR) guidelines 2010 for the treatment of colorectal cancer.

Toshiaki Watanabe, Michio Itabashi, Yasuhiro Shimada … (2012)

Colorectal cancer is a major cause of death in Japan, where it accounts for the largest number of deaths from malignant neoplasms in women and the third largest number in men. Many new treatment methods have been developed over the last few decades. The Japanese Society for Cancer of the Colon and Rectum (JSCCR) guidelines 2010 for the treatment of colorectal cancer (JSCCR Guidelines 2010) have been prepared to show standard treatment strategies for colorectal cancer, to eliminate disparities among institutions in terms of treatment, to eliminate unnecessary treatment and insufficient treatment, and to deepen mutual understanding between health-care professionals and patients by making these Guidelines available to the general public. These Guidelines have been prepared by consensuses reached by the JSCCR Guideline Committee, based on a careful review of the evidence retrieved by literature searches and in view of the medical health insurance system and actual clinical practice settings in Japan. Therefore, these Guidelines can be used as a tool for treating colorectal cancer in actual clinical practice settings. More specifically, they can be used as a guide to obtaining informed consent from patients and choosing the method of treatment for each patient. As a result of the discussions held by the Guideline Committee, controversial issues were selected as Clinical Questions, and recommendations were made. Each recommendation is accompanied by a classification of the evidence and a classification of recommendation categories based on the consensus reached by the Guideline Committee members. Here we present the English version of the JSCCR Guidelines 2010.

0 comments Cited 202 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: found

Is Open Access

Extended Clavien-Dindo classification of surgical complications: Japan Clinical Oncology Group postoperative complications criteria

Hiroshi Katayama, YUKINORI KUROKAWA, Kenichi Nakamura … (2015)

Purpose Prior to publication of the Clavien-Dindo classification in 2004, there were no grading definitions for surgical complications in either clinical practice or surgical trials. This report establishes supplementary criteria for this classification to standardize the evaluation of postoperative complications in clinical trials. Methods The Japan Clinical Oncology Group (JCOG) commissioned a committee. Members from nine surgical study groups (gastric, esophageal, colorectal, lung, breast, gynecologic, urologic, bone and soft tissue, and brain) specified postoperative complications experienced commonly in their fields and defined more detailed grading criteria for each complication in accordance with the general grading rules of the Clavien-Dindo classification. Results We listed 72 surgical complications experienced commonly in surgical trials, focusing on 17 gastroenterologic complications, 13 infectious complications, six thoracic complications, and several other complications. The grading criteria were defined simply and were optimized for surgical complications. Conclusions The JCOG postoperative complications criteria (JCOG PC criteria) aim to standardize the terms used to define adverse events (AEs) and provide detailed grading guidelines based on the Clavien-Dindo classification. We believe that the JCOG PC criteria will allow for more precise comparisons of the frequency of postoperative complications among trials across many different surgical fields.

0 comments Cited 125 times – based on 0 reviews      Review now

Bookmark

All references

Author and article information

Contributors

Shungo Endo:

ORCID: http://orcid.org/0000-0003-2383-8407

endoswing@gmail.com

Journal

Journal ID (nlm-ta): Int J Colorectal Dis

Journal ID (iso-abbrev): Int J Colorectal Dis

Title: International Journal of Colorectal Disease

Publisher: Springer Berlin Heidelberg (Berlin/Heidelberg )

ISSN (Print): 0179-1958

ISSN (Electronic): 1432-1262

Publication date (Electronic): 27 November 2020

Publication date PMC-release: 27 November 2020

Publication date (Print): 2021

Volume: 36

Issue: 5

Pages: 987-998

Affiliations

[1 ]GRID grid.411582.b, ISNI 0000 0001 1017 9540, Department of Coloproctology, Aizu Medical Center, , Fukushima Medical University, ; Aizu-Wakamatsu City, Fukushima 969-3492 Japan

[2 ]GRID grid.470115.6, Department of Surgery, , Toho University Ohashi Medical Center, ; Tokyo, Japan

[3 ]GRID grid.415479.a, Department of Gastroenterology, , Tokyo Metropolitan Cancer Infectious Disease Center Komagome Hospital, ; Tokyo, Japan

[4 ]GRID grid.413376.4, ISNI 0000 0004 1761 1035, Department of Clinical Laboratory and Endoscopy, , Tokyo Women’s Medical University, Medical Center East, ; Tokyo, Japan

Author information

Shungo Endo http://orcid.org/0000-0003-2383-8407

Article

Publisher ID: 3806

DOI: 10.1007/s00384-020-03806-5

PMC ID: 8026453

PubMed ID: 33247313

SO-VID: 2bb0ed79-c982-4aa3-8a4a-60c12ad65bd8

License:

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

History

Date accepted : 19 November 2020

Custom metadata

ScienceOpen disciplines: Gastroenterology & Hepatology

Keywords: obstructive colorectal cancer,bridge to surgery,self-expanding metallic stent,transanal decompression tube,emergency surgery

Data availability:

ScienceOpen disciplines: Gastroenterology & Hepatology

Keywords: obstructive colorectal cancer, bridge to surgery, self-expanding metallic stent, transanal decompression tube, emergency surgery

Comparison of survival and perioperative outcome of the colonic stent and the transanal decompression tube placement and emergency surgery for left-sided obstructive colorectal cancer: a retrospective multi-center observational study “The CODOMO study”

Read this article at

Abstract

Purpose

Methods

Results

Conclusion

Related collections

Karger: Gastroenterology

Most cited references 33

Global cancer statistics.

Japanese Society for Cancer of the Colon and Rectum (JSCCR) guidelines 2010 for the treatment of colorectal cancer.

Extended Clavien-Dindo classification of surgical complications: Japan Clinical Oncology Group postoperative complications criteria

Author and article information

Contributors

Journal

Affiliations

Author information

Article

History

Categories

Custom metadata

Comments

Comment on this article

Similar content 203

Cited by 9

Most referenced authors 965