Application of Metal Stent Implantation with Endoscope and X-ray Fluoroscopy Combined Laparoscopic Surgery in the Treatment of Acute Left Hemicolon Cancer Obstruction

Sep 24, 2026

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Study evaluates endoscopic and X-ray fluoroscopy-guided metal stent placement combined with laparoscopic surgery versus conventional open Hartmann’s procedure for acute left-sided colon cancer obstruction. A case–control design compares 23 stented-laparoscopic patients (June 2011–December 2019) with 20 controls undergoing traditional emergency open Hartmann surgery. Outcomes include operation time, blood loss, postoperative recovery, one-stage anastomosis success, hospital stay, and complications, with subgroup analysis and survival comparisons between groups.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages10

Reading Time25 min

AccessFree to download

Abstract

Background

Methods

Results

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Introduction

Zhou et al. World Journal of Surgical Oncology (2023) 21:331 [https://doi.org/10.1186/s12957-023-03228-x](https://doi.org/10.1186/s12957-023-03228-x) World Journal of Surgical Oncology RESEARCH Open Access Application of metal stent implantation with endoscope and X-ray fluoroscopy combined laparoscopic surgery in the treatment of acute left hemicolon cancer obstruction Xiao‑Cong Zhou1†, Fei‑Yue Ke2†, Gaurav Dhamija3, Ruchi D. Viroja3 and Chun‑Wei Huang4* Abstract Background This study aimed to conduct a case–control study of endoscopic and fluoroscopic metal stent place‑ ment combined with laparoscopic surgery versus conventional open Hartmann’s procedure in treating acute left‑ sided colon cancer obstruction. Additionally, the study aims to discuss the application value of endoscopic and X‑ray‑ guided metal stent placement combined with laparoscopic surgery in the treatment of acute left‑sided colon cancer obstruction. Methods From June 2011 to December 2019, 23 patients with acute left‑sided colon cancer obstruction who under‑ went metal stent implantation combined with laparoscopic surgery under endoscopy and X‑ray fluoroscopy in Wen‑ zhou Central Hospital were collected, and 20 patients with acute left‑sided colon cancer obstruction who underwent traditional emergency open Hartmann’s surgery during the same period were selected as a control group. All patients were diagnosed with left colon obstruction by plain abdominal film and/or CT before the operation and colon adeno‑ carcinoma by colonoscopic biopsy and/or postoperative pathology. The operation time, intraoperative blood loss, postoperative anal exhaust time, the success rate of one‑stage anastomosis, postoperative hospital stay, and postop‑ erative complications were compared between the two groups. Results This study showed a significant difference in the therapeutic effect between the two groups. Compared with the traditional Hartmann’s operation group, the success rate of one‑stage anastomosis in endoscopic and X‑ray‑ guided metal stent placement combined with the laparoscopic operation group was significantly higher than that in the Hartmann’s operation group (P < 0. 05) . The overall incidence of postoperative complications and hospital stay were significantly lower in the observation group than in the Hartmann’s group (P < 0. 05) . Further subgroup analysis of the overall postoperative complication rate of the two groups showed that the traditional Hartmann’s operation group was more likely to have an incomplete intestinal obstruction (P < 0. 05) . This study also showed no significant differences between the two groups in operation time, intraoperative blood loss, number of harvested lymph nodes, and postoperative anal exhaust time (all P >0. 05) . This study also found no significant differences between the two groups in overall survival rates or recurrence‑free survival rates (all P > 0. 05) . †Xiao‑Cong Zhou and Fei‑Yue Ke are equal contributors and co‑first authors in this manuscript. *Correspondence: Chun‑Wei Huang [13906643275@163.com](13906643275@163.com) Full list of author information is available at the end of the article © The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this

FAQs

What treatment strategies are compared in this study?

The study compares endoscopic and X-ray fluoroscopy-guided metal stent placement combined with laparoscopic surgery versus conventional open Hartmann’s procedure for acute left-sided colon cancer obstruction.

How were the patient groups formed?

From June 2011 to December 2019, 23 patients received metal stent implantation plus laparoscopic surgery under endoscopy and X-ray fluoroscopy, while 20 patients underwent traditional emergency open Hartmann surgery during the same period.

Which clinical outcomes showed significant differences?

The one-stage anastomosis success rate was higher in the stent-laparoscopic group, while postoperative complication incidence and hospital stay were lower. Subgroup analysis suggested the Hartmann group was more likely to have incomplete intestinal obstruction.

Sep 24, 2026

Uploaded by Grenda