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

15 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
Externally publishedYes

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Decompression
Drainage
Colorectal Neoplasms
Colon
Confidence Intervals
Survival

Keywords

  • Acute obstruction
  • Colorectal cancer
  • Transanal drainage tube

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology
  • Medicine(all)

Cite this

Outcomes for Patients with Obstructing Colorectal Cancers Treated with One-Stage Surgery Using Transanal Drainage Tubes. / Shigeta, Kohei; Baba, Hideo; Yamafuji, Kazuo; Kaneda, Hiroyuki; Katsura, Hideyuki; Kubochi, Kiyoshi.

In: Journal of Gastrointestinal Surgery, Vol. 18, No. 8, 2014, p. 1507-1513.

Research output: Contribution to journalArticle

Shigeta, Kohei ; Baba, Hideo ; Yamafuji, Kazuo ; Kaneda, Hiroyuki ; Katsura, Hideyuki ; Kubochi, Kiyoshi. / Outcomes for Patients with Obstructing Colorectal Cancers Treated with One-Stage Surgery Using Transanal Drainage Tubes. In: Journal of Gastrointestinal Surgery. 2014 ; Vol. 18, No. 8. pp. 1507-1513.
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