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http://dx.doi.org/10.1016/j.arbres.2024.07.004 | DOI Listing |
Front Urol
August 2025
Department of Urology, Lishui Municipal Central Hospital, The Fifth Affiliated Hospital of Wenzhou Medical University, Lishui, China.
Background: Radical cystectomy accompanied by urinary diversion remains the standard surgical intervention for individuals diagnosed with muscle-invasive bladder cancer. Notably, around 30% of these patients opt for a ureterocutaneous stoma. However, this technique is frequently associated with complications such as anastomotic stenosis, obstruction, and infection, which can lead to the deterioration of renal function and significantly impair the patient's quality of life.
View Article and Find Full Text PDFBMC Gastroenterol
September 2025
Colorectal Research Chair, Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Background: Malignant colonic obstruction (MCO) occurs in 10–18% of colorectal cancers. Traditionally, emergency surgery has been the standard treatment modality. However, it is associated with higher morbidity and mortality rates compared to patients undergoing elective surgery.
View Article and Find Full Text PDFAnastomotic leakage after colorectal surgery is a serious complication , leading to higher morbidity and mortality, permanent stoma formation, and cancer recurrence. Management of anastomotic leaks is patient-specific and surgical management is dictated by the degree of contamination, inflammation, and patient risk factors. Internal drainage with double pigtail stents - initially used for managing leaks after bariatric surgery - has recently been applied to anastomotic leaks following resection of colorectal malignancies.
View Article and Find Full Text PDFSurg Endosc
August 2025
Research Unit of Surgery, Odense University Hospital, Svendborg, Denmark.
Aim: The role of self-expanding metallic stents (SEMS) in colorectal obstructions caused by diverticular disease remains uncertain. We aimed to investigate the technical and clinical outcomes related to this procedure, including mortality and complications.
Methods: Peer-reviewed and published literature was identified by searching Embase (Ovid), MEDLINE (Ovid), Scopus, Web of Science, Cochrane Central Register of Controlled Trials, and Clinicaltrials.
Surg Endosc
August 2025
North Bristol NHS Trust, Bristol, UK.
Background: To assess the safety and efficacy of a change to a stent first approach for malignant large bowel obstruction (LBO) in both left and right colon in a single centre over a 4-year period.
Methods: This retrospective cohort study in an acute NHS Hospital Trust from 01/01/2019-31/12/2022 examines a change in practice from emergency surgery (ES) to colonic stenting for patients with both left and right sided acute malignant LBO. Co-primary outcomes were clinically successful bowel decompression following stenting and 30-day mortality.