Self-expanding metallic stent as a bridge to surgery versus emergency surgery for obstructive colorectal cancer: a meta-analysis
Background The use of a colonic stent as a bridge to surgery aims to provide patients with elective one-stage surgical resection while reducing stoma creation and postoperative complications. This study used meta-analytic techniques to compare the outcomes of stent use as a bridge to surgery and eme...
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| Veröffentlicht in: | Surgical endoscopy 2012-01, Vol.26 (1), p.110-119 |
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| creator | Zhang, Yi Shi, Jian Shi, Bin Song, Chun-Yan Xie, Wei-Fen Chen, Yue-Xiang |
| description | Background
The use of a colonic stent as a bridge to surgery aims to provide patients with elective one-stage surgical resection while reducing stoma creation and postoperative complications. This study used meta-analytic techniques to compare the outcomes of stent use as a bridge to surgery and emergency surgery in the management of obstructive colorectal cancer.
Methods
A literature search of Medline, Embase, Cochrane controlled trials registry, and the Chinese Biomedical Literature Database was performed on all studies comparing stent as a bridge to surgery and emergency surgery for obstructive colorectal cancer. A meta-analysis of the included studies was carried out to identify the differences in outcomes between the two procedures.
Results
Eight studies matched the criteria for inclusion and reported on the outcomes of 601 patients, of whom 232 (38.6%) underwent stent insertion and 369 (61.4%) underwent emergency surgery. Fewer patients in the stent group needed intensive care (risk ratio [RR], 0.42; 95% confidence interval [CI], 0.19–0.93;
p
= 0.03) and stoma creation (RR, 0.70; 95% CI, 0.50–0.99;
p
= 0.04). The primary anastomosis rate in the stent group was higher (RR, 1.62; 95% CI, 1.21–2.16;
p
= 0.001). Overall complications (RR, 0.42; 95% CI, 0.24–0.71;
p
= 0.001), including anastomotic leakage (RR, 0.31; 95% CI, 0.14–0.69;
p
= 0.004), were reduced by stent insertion. Stent placement before elective surgery did not adversely affect mortality and long-term survival.
Conclusions
The use of a stent as a bridge to surgery for obstructive left-sided colorectal cancer could increase the chance of primary anastomosis and reduce the need for stoma creation and postprocedural complications. Stent insertion before subsequent surgery has no effect on perioperative mortality and long-term survival. |
| doi_str_mv | 10.1007/s00464-011-1835-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_912271976</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2542464981</sourcerecordid><originalsourceid>FETCH-LOGICAL-c466t-9779d72b050af7da90d7e753da73367b62966438d604c427252dbc99b28e62be3</originalsourceid><addsrcrecordid>eNp1kU2LFDEQhoMo7rj6A7xIEMRTNEnno-NNFr9gwYN6DumkeuiluzOmuhfn5k83zYy7IHgKoZ56qqiXkOeCvxGc27fIuTKKcSGYaBvNzAOyE6qRTErRPiQ77hrOpHXqgjxBvOEVd0I_JhdS2NYZJXfk9zcYewa_DmFOw7ynEyxhHIdIcYF5oQFpoF0Z0h7okimuZQ_lSG-h4IoUJqj_OR7vCn0uNHe4lDUuwy3QmMdcIFYnjWGOUN5V3zaDhTmMRxzwKXnUhxHh2fm9JD8-fvh-9Zldf_305er9NYvKmIU5a12ysuOah96m4HiyYHWTgm0aYzsjnTGqaZPhKipppZapi851sgUjO2guyeuT91DyzxVw8dOAEcYxzJBX9E5IaYWzppIv_yFv8lrquhskXDVrUSFxgmLJiAV6fyjDFMrRC-63cPwpHF_D8Vs4fhO_OIvXboJ01_E3jQq8OgMBYxj7Uk824D2nteZKqsrJE4e1NNfD32_4_-l_AMWKp8k</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>911925251</pqid></control><display><type>article</type><title>Self-expanding metallic stent as a bridge to surgery versus emergency surgery for obstructive colorectal cancer: a meta-analysis</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Zhang, Yi ; Shi, Jian ; Shi, Bin ; Song, Chun-Yan ; Xie, Wei-Fen ; Chen, Yue-Xiang</creator><creatorcontrib>Zhang, Yi ; Shi, Jian ; Shi, Bin ; Song, Chun-Yan ; Xie, Wei-Fen ; Chen, Yue-Xiang</creatorcontrib><description>Background
The use of a colonic stent as a bridge to surgery aims to provide patients with elective one-stage surgical resection while reducing stoma creation and postoperative complications. This study used meta-analytic techniques to compare the outcomes of stent use as a bridge to surgery and emergency surgery in the management of obstructive colorectal cancer.
Methods
A literature search of Medline, Embase, Cochrane controlled trials registry, and the Chinese Biomedical Literature Database was performed on all studies comparing stent as a bridge to surgery and emergency surgery for obstructive colorectal cancer. A meta-analysis of the included studies was carried out to identify the differences in outcomes between the two procedures.
Results
Eight studies matched the criteria for inclusion and reported on the outcomes of 601 patients, of whom 232 (38.6%) underwent stent insertion and 369 (61.4%) underwent emergency surgery. Fewer patients in the stent group needed intensive care (risk ratio [RR], 0.42; 95% confidence interval [CI], 0.19–0.93;
p
= 0.03) and stoma creation (RR, 0.70; 95% CI, 0.50–0.99;
p
= 0.04). The primary anastomosis rate in the stent group was higher (RR, 1.62; 95% CI, 1.21–2.16;
p
= 0.001). Overall complications (RR, 0.42; 95% CI, 0.24–0.71;
p
= 0.001), including anastomotic leakage (RR, 0.31; 95% CI, 0.14–0.69;
p
= 0.004), were reduced by stent insertion. Stent placement before elective surgery did not adversely affect mortality and long-term survival.
Conclusions
The use of a stent as a bridge to surgery for obstructive left-sided colorectal cancer could increase the chance of primary anastomosis and reduce the need for stoma creation and postprocedural complications. Stent insertion before subsequent surgery has no effect on perioperative mortality and long-term survival.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-011-1835-6</identifier><identifier>PMID: 21789642</identifier><identifier>CODEN: SUREEX</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Abdominal Surgery ; Biological and medical sciences ; Colectomy - mortality ; Colectomy - statistics & numerical data ; Colorectal cancer ; Colorectal Neoplasms - complications ; Colorectal Neoplasms - mortality ; Colorectal Neoplasms - surgery ; Colostomy - mortality ; Colostomy - statistics & numerical data ; Elective surgery ; Emergencies ; Emergency Treatment - instrumentation ; Emergency Treatment - methods ; Emergency Treatment - mortality ; Gastroenterology ; Gastroenterology. Liver. Pancreas. Abdomen ; Gynecology ; Hepatology ; Humans ; Intensive care ; Intestinal obstruction ; Intestinal Obstruction - etiology ; Intestinal Obstruction - mortality ; Intestinal Obstruction - surgery ; Laparoscopy - mortality ; Laparoscopy - statistics & numerical data ; Length of Stay ; Medical sciences ; Medicine ; Medicine & Public Health ; Meta-analysis ; Mortality ; Ostomy ; Other diseases. Semiology ; Patients ; Postoperative Complications - etiology ; Postoperative Complications - mortality ; Proctology ; Publication Bias ; Randomized Controlled Trials as Topic ; Sample Size ; Statistical analysis ; Stents ; Stomach, duodenum, intestine, rectum, anus ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; Surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system ; Surgical anastomosis ; Tumors</subject><ispartof>Surgical endoscopy, 2012-01, Vol.26 (1), p.110-119</ispartof><rights>Springer Science+Business Media, LLC 2011</rights><rights>2015 INIST-CNRS</rights><rights>Springer Science+Business Media, LLC 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c466t-9779d72b050af7da90d7e753da73367b62966438d604c427252dbc99b28e62be3</citedby><cites>FETCH-LOGICAL-c466t-9779d72b050af7da90d7e753da73367b62966438d604c427252dbc99b28e62be3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-011-1835-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-011-1835-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25550424$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21789642$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Yi</creatorcontrib><creatorcontrib>Shi, Jian</creatorcontrib><creatorcontrib>Shi, Bin</creatorcontrib><creatorcontrib>Song, Chun-Yan</creatorcontrib><creatorcontrib>Xie, Wei-Fen</creatorcontrib><creatorcontrib>Chen, Yue-Xiang</creatorcontrib><title>Self-expanding metallic stent as a bridge to surgery versus emergency surgery for obstructive colorectal cancer: a meta-analysis</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Background
The use of a colonic stent as a bridge to surgery aims to provide patients with elective one-stage surgical resection while reducing stoma creation and postoperative complications. This study used meta-analytic techniques to compare the outcomes of stent use as a bridge to surgery and emergency surgery in the management of obstructive colorectal cancer.
Methods
A literature search of Medline, Embase, Cochrane controlled trials registry, and the Chinese Biomedical Literature Database was performed on all studies comparing stent as a bridge to surgery and emergency surgery for obstructive colorectal cancer. A meta-analysis of the included studies was carried out to identify the differences in outcomes between the two procedures.
Results
Eight studies matched the criteria for inclusion and reported on the outcomes of 601 patients, of whom 232 (38.6%) underwent stent insertion and 369 (61.4%) underwent emergency surgery. Fewer patients in the stent group needed intensive care (risk ratio [RR], 0.42; 95% confidence interval [CI], 0.19–0.93;
p
= 0.03) and stoma creation (RR, 0.70; 95% CI, 0.50–0.99;
p
= 0.04). The primary anastomosis rate in the stent group was higher (RR, 1.62; 95% CI, 1.21–2.16;
p
= 0.001). Overall complications (RR, 0.42; 95% CI, 0.24–0.71;
p
= 0.001), including anastomotic leakage (RR, 0.31; 95% CI, 0.14–0.69;
p
= 0.004), were reduced by stent insertion. Stent placement before elective surgery did not adversely affect mortality and long-term survival.
Conclusions
The use of a stent as a bridge to surgery for obstructive left-sided colorectal cancer could increase the chance of primary anastomosis and reduce the need for stoma creation and postprocedural complications. Stent insertion before subsequent surgery has no effect on perioperative mortality and long-term survival.</description><subject>Abdominal Surgery</subject><subject>Biological and medical sciences</subject><subject>Colectomy - mortality</subject><subject>Colectomy - statistics & numerical data</subject><subject>Colorectal cancer</subject><subject>Colorectal Neoplasms - complications</subject><subject>Colorectal Neoplasms - mortality</subject><subject>Colorectal Neoplasms - surgery</subject><subject>Colostomy - mortality</subject><subject>Colostomy - statistics & numerical data</subject><subject>Elective surgery</subject><subject>Emergencies</subject><subject>Emergency Treatment - instrumentation</subject><subject>Emergency Treatment - methods</subject><subject>Emergency Treatment - mortality</subject><subject>Gastroenterology</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Intensive care</subject><subject>Intestinal obstruction</subject><subject>Intestinal Obstruction - etiology</subject><subject>Intestinal Obstruction - mortality</subject><subject>Intestinal Obstruction - surgery</subject><subject>Laparoscopy - mortality</subject><subject>Laparoscopy - statistics & numerical data</subject><subject>Length of Stay</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Meta-analysis</subject><subject>Mortality</subject><subject>Ostomy</subject><subject>Other diseases. Semiology</subject><subject>Patients</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - mortality</subject><subject>Proctology</subject><subject>Publication Bias</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Sample Size</subject><subject>Statistical analysis</subject><subject>Stents</subject><subject>Stomach, duodenum, intestine, rectum, anus</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><subject>Surgical anastomosis</subject><subject>Tumors</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kU2LFDEQhoMo7rj6A7xIEMRTNEnno-NNFr9gwYN6DumkeuiluzOmuhfn5k83zYy7IHgKoZ56qqiXkOeCvxGc27fIuTKKcSGYaBvNzAOyE6qRTErRPiQ77hrOpHXqgjxBvOEVd0I_JhdS2NYZJXfk9zcYewa_DmFOw7ynEyxhHIdIcYF5oQFpoF0Z0h7okimuZQ_lSG-h4IoUJqj_OR7vCn0uNHe4lDUuwy3QmMdcIFYnjWGOUN5V3zaDhTmMRxzwKXnUhxHh2fm9JD8-fvh-9Zldf_305er9NYvKmIU5a12ysuOah96m4HiyYHWTgm0aYzsjnTGqaZPhKipppZapi851sgUjO2guyeuT91DyzxVw8dOAEcYxzJBX9E5IaYWzppIv_yFv8lrquhskXDVrUSFxgmLJiAV6fyjDFMrRC-63cPwpHF_D8Vs4fhO_OIvXboJ01_E3jQq8OgMBYxj7Uk824D2nteZKqsrJE4e1NNfD32_4_-l_AMWKp8k</recordid><startdate>20120101</startdate><enddate>20120101</enddate><creator>Zhang, Yi</creator><creator>Shi, Jian</creator><creator>Shi, Bin</creator><creator>Song, Chun-Yan</creator><creator>Xie, Wei-Fen</creator><creator>Chen, Yue-Xiang</creator><general>Springer-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20120101</creationdate><title>Self-expanding metallic stent as a bridge to surgery versus emergency surgery for obstructive colorectal cancer: a meta-analysis</title><author>Zhang, Yi ; Shi, Jian ; Shi, Bin ; Song, Chun-Yan ; Xie, Wei-Fen ; Chen, Yue-Xiang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c466t-9779d72b050af7da90d7e753da73367b62966438d604c427252dbc99b28e62be3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Abdominal Surgery</topic><topic>Biological and medical sciences</topic><topic>Colectomy - mortality</topic><topic>Colectomy - statistics & numerical data</topic><topic>Colorectal cancer</topic><topic>Colorectal Neoplasms - complications</topic><topic>Colorectal Neoplasms - mortality</topic><topic>Colorectal Neoplasms - surgery</topic><topic>Colostomy - mortality</topic><topic>Colostomy - statistics & numerical data</topic><topic>Elective surgery</topic><topic>Emergencies</topic><topic>Emergency Treatment - instrumentation</topic><topic>Emergency Treatment - methods</topic><topic>Emergency Treatment - mortality</topic><topic>Gastroenterology</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Gynecology</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Intensive care</topic><topic>Intestinal obstruction</topic><topic>Intestinal Obstruction - etiology</topic><topic>Intestinal Obstruction - mortality</topic><topic>Intestinal Obstruction - surgery</topic><topic>Laparoscopy - mortality</topic><topic>Laparoscopy - statistics & numerical data</topic><topic>Length of Stay</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Meta-analysis</topic><topic>Mortality</topic><topic>Ostomy</topic><topic>Other diseases. Semiology</topic><topic>Patients</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - mortality</topic><topic>Proctology</topic><topic>Publication Bias</topic><topic>Randomized Controlled Trials as Topic</topic><topic>Sample Size</topic><topic>Statistical analysis</topic><topic>Stents</topic><topic>Stomach, duodenum, intestine, rectum, anus</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><topic>Surgical anastomosis</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Yi</creatorcontrib><creatorcontrib>Shi, Jian</creatorcontrib><creatorcontrib>Shi, Bin</creatorcontrib><creatorcontrib>Song, Chun-Yan</creatorcontrib><creatorcontrib>Xie, Wei-Fen</creatorcontrib><creatorcontrib>Chen, Yue-Xiang</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, Yi</au><au>Shi, Jian</au><au>Shi, Bin</au><au>Song, Chun-Yan</au><au>Xie, Wei-Fen</au><au>Chen, Yue-Xiang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Self-expanding metallic stent as a bridge to surgery versus emergency surgery for obstructive colorectal cancer: a meta-analysis</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2012-01-01</date><risdate>2012</risdate><volume>26</volume><issue>1</issue><spage>110</spage><epage>119</epage><pages>110-119</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><coden>SUREEX</coden><abstract>Background
The use of a colonic stent as a bridge to surgery aims to provide patients with elective one-stage surgical resection while reducing stoma creation and postoperative complications. This study used meta-analytic techniques to compare the outcomes of stent use as a bridge to surgery and emergency surgery in the management of obstructive colorectal cancer.
Methods
A literature search of Medline, Embase, Cochrane controlled trials registry, and the Chinese Biomedical Literature Database was performed on all studies comparing stent as a bridge to surgery and emergency surgery for obstructive colorectal cancer. A meta-analysis of the included studies was carried out to identify the differences in outcomes between the two procedures.
Results
Eight studies matched the criteria for inclusion and reported on the outcomes of 601 patients, of whom 232 (38.6%) underwent stent insertion and 369 (61.4%) underwent emergency surgery. Fewer patients in the stent group needed intensive care (risk ratio [RR], 0.42; 95% confidence interval [CI], 0.19–0.93;
p
= 0.03) and stoma creation (RR, 0.70; 95% CI, 0.50–0.99;
p
= 0.04). The primary anastomosis rate in the stent group was higher (RR, 1.62; 95% CI, 1.21–2.16;
p
= 0.001). Overall complications (RR, 0.42; 95% CI, 0.24–0.71;
p
= 0.001), including anastomotic leakage (RR, 0.31; 95% CI, 0.14–0.69;
p
= 0.004), were reduced by stent insertion. Stent placement before elective surgery did not adversely affect mortality and long-term survival.
Conclusions
The use of a stent as a bridge to surgery for obstructive left-sided colorectal cancer could increase the chance of primary anastomosis and reduce the need for stoma creation and postprocedural complications. Stent insertion before subsequent surgery has no effect on perioperative mortality and long-term survival.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>21789642</pmid><doi>10.1007/s00464-011-1835-6</doi><tpages>10</tpages></addata></record> |
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| ispartof | Surgical endoscopy, 2012-01, Vol.26 (1), p.110-119 |
| issn | 0930-2794 1432-2218 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Abdominal Surgery Biological and medical sciences Colectomy - mortality Colectomy - statistics & numerical data Colorectal cancer Colorectal Neoplasms - complications Colorectal Neoplasms - mortality Colorectal Neoplasms - surgery Colostomy - mortality Colostomy - statistics & numerical data Elective surgery Emergencies Emergency Treatment - instrumentation Emergency Treatment - methods Emergency Treatment - mortality Gastroenterology Gastroenterology. Liver. Pancreas. Abdomen Gynecology Hepatology Humans Intensive care Intestinal obstruction Intestinal Obstruction - etiology Intestinal Obstruction - mortality Intestinal Obstruction - surgery Laparoscopy - mortality Laparoscopy - statistics & numerical data Length of Stay Medical sciences Medicine Medicine & Public Health Meta-analysis Mortality Ostomy Other diseases. Semiology Patients Postoperative Complications - etiology Postoperative Complications - mortality Proctology Publication Bias Randomized Controlled Trials as Topic Sample Size Statistical analysis Stents Stomach, duodenum, intestine, rectum, anus Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system Surgical anastomosis Tumors |
| title | Self-expanding metallic stent as a bridge to surgery versus emergency surgery for obstructive colorectal cancer: a meta-analysis |
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