BACKGROUD: The efficacy and safety of self-expandable metallic stents (SEMSs) as a bridge for @entity1 with acute malignant @entity14 (AMCOs) are still controversial. We conducted this study to evaluate the outcomes of @entity1 with AMCOs treated by different strategies. METHODS: From January 2010 to March 2014, a total of 171 @entity1 with AMCOs from Zhongshan Hospital were retrospectively enrolled in this study. One hundred twenty @entity1 successfully received stent placement followed by one-stage laparoscopic or open resection in the stent group, and 51 @entity1 received emergency operations in the emergency group. RESULTS: The operation duration and postoperative hospital stay were significantly shorter in the stent group (114.51        28.65 vs. 160.39        58.94  min, P   <   0.001; 8.00        3.97 vs. 12.59        9.07  days, P   =   0.001). The stent group also had significantly reduced intraoperative @entity190 and the incidence of @entity260 compared with the emergency group (61.00        43.70 vs. 121.18        85.90  ml, P   <   0.001; 16.7 vs. 37.3  %, P   =   0.003). Kaplan-Meier survival curves showed that the median survival time in the stent group was significantly longer than that in the emergency group (53 vs. 41  months, P   =   0.034). In subgroup analysis of stent group, the stent laparoscopy group had significantly @entity260 (P   =   0.025), and similar long-term survival (P   =   0.81). CONCLUSIONS: Stent placement as a bridge to surgery is a safe and feasible procedure and provides significant advantages in terms of short-term outcomes and favorable prognoses for @entity1 with AMCOs. Laparoscopic surgery could be considered as an optimal treatment after stent placement.

Self-expandable metallic stent as a bridge to elective surgery versus emergency surgery for acute malignant XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity260 :: ('MESH:D011183', 'Disease') :: ['postoperative complications', 'decreased postoperative complications'] @entity14 :: ('MESH:D015179', 'Disease') :: ['colorectal obstructions']
@entity14 :: (MESH:D015179,Disease) :: ['colorectal obstruction']
