Journal of Minimally Invasive Surgery 2021; 24(3): 123-125
Is stent insertion for obstructing colon cancer a good prognostic factor in long-term oncologic outcomes in symptomatic obstructive colon cancer?
Sung Uk Bae
Department of Surgery, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea
Correspondence to: Sung Uk Bae
Department of Surgery, Dongsan Medical Center, Keimyung University School of Medicine, 1035 Dalgubeol-daero, Dalseo-gu, Daegu 42601, Korea
Tel: +82-53-258-4708
Fax: +82-53-258-4710
Received: August 22, 2021; Revised: September 1, 2021; Accepted: September 6, 2021; Published online: September 15, 2021.
© The Korean Society of Endoscopic and Laparoscopic Surgeons.

cc This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Although obstructive colon cancer can often be treated with first-stage resection with primary anastomosis, the results of the oncological outcome of using stenting as a bridge of surgery in the literature are still controversial. Stent insertion for obstructed cancer provides an opportunity for bowel preparation and makes preoperative work-up and clinical staging possible. However, although stenting is becoming a more frequent treatment modality, studies with a significant number of patients acting as a bridge between surgery are still lacking. In this issue of Journal of Minimally Invasive Surgery, the study by Kim et al. highlights the efficacy of stent insertion as the initial treatment and analyzed the prognostic factors in symptomatic obstructive colon cancer. The study demonstrated that emergent surgery, vascular invasion, and omitting adjuvant chemotherapy were independent poor prognostic factors in long-term oncologic outcomes suggested that stent insertion should be considered an initial treatment for symptomatic obstructive colon cancer.
Keywords: Colorectal neoplasms, Stent, Outcome, Prognosis

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