Outcomes for Patients with Obstructing Colorectal Cancers Treated with One-Stage Surgery Using Transanal Drainage Tubes

Kohei Shigeta, Hideo Baba, Kazuo Yamafuji, Hiroyuki Kaneda, Hideyuki Katsura, Kiyoshi Kubochi

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Background: Acute colorectal obstruction requires immediate surgical treatment. Although one-stage surgery with transanal drainage tubes (TDT) is reportedly safe and feasible, the long-term outcome of this procedure remains unclear. Aim: To assess the outcome of one-stage surgery using TDT in the acute left colon or rectal obstructions due to colorectal carcinomas. Methods: Clinicopathological data were recorded from patients with colorectal cancer with acute obstructions between 2006 and 2013. Results: A total of 43 patients were enrolled including 29 males and 14 females. Among 39 patients, TDT was successful in 33 (84 %) and was incomplete in 6. Thus, 33 patients received one-stage surgery with TDT decompression, and 9 patients, including 6 with incomplete decompression, received one-stage surgery with no decompression. No significant differences in clinicopathological factors were observed between decompression and non-decompression groups. Adjusted analyses revealed that decompression using TDT was significantly associated with OS (hazard ratio 0.24; 95 % confidence interval, 0.08-0.72; p = 0.01). Furthermore, OS in the TDT decompression group was significantly longer than that in the non-decompression group (p = 0.01). Conclusions: One-stage surgery with decompression using TDT may be effective to avoid stomas and to improve overall survival in patients with obstructing colorectal cancers.

Original languageEnglish
Pages (from-to)1507-1513
Number of pages7
JournalJournal of Gastrointestinal Surgery
Volume18
Issue number8
DOIs
Publication statusPublished - 2014 Jan 1

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Keywords

  • Acute obstruction
  • Colorectal cancer
  • Transanal drainage tube

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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