Chan Dedrick Kok Hong, Tan Ker-Kan
Division of Colorectal Surgery, University Surgical Cluster, National University Health System, Singapore, Singapore.
Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
J Gastrointest Oncol. 2020 Jun;11(3):486-490. doi: 10.21037/jgo.2020.01.08.
Obstructed colorectal cancers (CRCs) continue to be challenging to manage. Apart from surgical resection, the use of self-expanding metallic stents (SEMS) has become increasingly popular. SEMS could potentially allow for the conversion of an emergency operation into a semi-elective procedure, allow for the optimization of the patient's physiology, avoid the requirement for a stoma, as well as allow for a minimally-invasive approach to be adopted. This review article therefore highlights the evidence available in the literature pertaining to the use of SEMS in obstructed CRCs.
梗阻性结直肠癌(CRC)的治疗仍然具有挑战性。除手术切除外,自膨式金属支架(SEMS)的应用越来越普遍。SEMS有可能将急诊手术转变为半择期手术,使患者的生理状态得到优化,避免造口的需要,并允许采用微创方法。因此,这篇综述文章重点介绍了文献中有关在梗阻性CRC中使用SEMS的现有证据。