Endoscopic Stenting and Elective Surgery Versus Emergency Surgery for Left-sided Malignant Colonic Obstruction: A Prospective Randomized Trial.
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- The primary endpoint was postoperative complication rates.
研究概览
简要总结
The objective of this randomized controlled trial was to evaluate the role colonic self-expanding metal stent (SEMS) placement as a bridge to surgery in patients with acute malignant left-sided colonic obstruction. The study was designed to test the hypothesis that SEMS placement could be effectively and safely used in this group of patients to relieve colonic obstruction thereby allowing safe recovery and medical stabilization before proceeding to elective surgery
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
- •Acute intestinal obstruction secondary to left-sided colonic cancer
排除标准
- •Distal rectal cancers
- •Patients with signs of peritonitis suggestive of bowel perforation
研究组 & 干预措施
Colonic-stenting
Colonic-stenting and elective surgery: Emergency endoscopic colonic stenting followed by elective surgery at a later date for acute left-sided malignant colonic obstruction.
干预措施: Emergency endoscopic colonic stenting (Procedure)
Emergency surgery
Emergency surgery: Patients underwent emergency surgery for acute left-sided malignant colonic obstruction.
干预措施: Emergency surgery (Procedure)
结局指标
主要结局
The primary endpoint was postoperative complication rates.
时间窗: 30 days
次要结局
- Secondary outcomes evaluated included type of surgery performed, bowel preservation, presence of a stoma, postoperative bowel function, length of hospital stay, and hospitalization costs.(3 months)