Okamoto Tatsuya, Kikutake Takashi, Matsuoka Taisuke, Umemoto Satoshi, Nomi Masako, Hosaka Seiji, Maeno Hiroshi, Nagao Shuji, Kawamoto Shunji
Dept. of Surgery, Fukuoka Tokushukai Hospital.
Gan To Kagaku Ryoho. 2014 Nov;41(12):1589-90.
We treated 5 cases of preoperative decompression using the self-expandable metallic stent (SEMS) against obstructive left side colon cancer since October 2013. The obstruction site was the descending colon in one patient, sigmoid colon in 2, rectal-sigmoid colon in 1, and rectum in 1. Colonic stent placements were successful in all cases. Oral intake started an average of 3.7 days after SEMS placement. All patients underwent radical surgery an average of 17.2 days after SEMS placement. Two patients waited for surgery while out of the hospital. All patients underwent colonoscopy. One patient had advanced colon cancer. Our findings show that SEMS placement can treat obstructive left-sided colon cancer.
自2013年10月以来,我们使用自膨式金属支架(SEMS)对5例梗阻性左侧结肠癌患者进行了术前减压治疗。梗阻部位:降结肠1例,乙状结肠2例,直肠乙状结肠交界处1例,直肠1例。所有病例结肠支架置入均成功。SEMS置入后平均3.7天开始经口进食。所有患者在SEMS置入后平均17.2天接受了根治性手术。2例患者在院外等待手术。所有患者均接受了结肠镜检查。1例患者患有进展期结肠癌。我们的研究结果表明,SEMS置入可治疗梗阻性左侧结肠癌。