Emergency Surgery Versus Colorectal Stents for the Management of Malignant Colonic Obstructions: a Prospective Cohort Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 40
- 试验地点
- 2
- 主要终点
- The time of clinical relieve of obstruction
研究概览
简要总结
The study evaluates and compares effect of emergency surgery and colonic stents for treatment of malignant colonic obstructions.
详细描述
Acute colonic obstruction is one of the common clinical presentations of colorectal cancer. Surgical decompression with colostomy with or without resection and eventual re-anastomosis is the treatment of choice; however, emergency surgery is associated with higher morbidity and mortality.
The colonic stent insertion effectively decompressed the obstructed colon and avoid needs of emergency surgery. This method is a palliation and bridge to surgery. Colonic stents allowed surgery to be performed electively.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient with malignant colorectal obstructions.
- •Patient's approval to participate in the study.
排除标准
- •Patient's preference for either treatment method.
- •Patient's refusal to participate in the study.
- •Patients in the ASA group 4 and 5.
结局指标
主要结局
The time of clinical relieve of obstruction
时间窗: 24 hours after surgery/procedure
次要结局
- Blood loss(time of surgery/procedure)
- operation time(during surgery/procedure)
- Stent related complications(time of hospital stay, an average 10 day.)
- Mortality(30 day after surgery/procedure)
- Overall complications(30 day after surgery/procedure)
研究者
Zaza Demetrashvili
Associate Professor, Surgery Department
Tbilisi State Medical University