Van den berg, 2014 ¿ bridge-to-surgery stent placement versus emergency surgery for acute malignant colonic obstruction procedure: the following surgical approaches were used in the surgery-alone group and for patients in the sems group in whom acute operation was warranted (for example in the event of technical failure): resection with primary anastomosis with or without diverting stoma, resection with definitive stoma, decompression stoma aiming at resection in an elective setting, or definitive stoma creation without resection.Following sems placement or stoma formation as a bridge to elective surgery, subsequent elective surgery entailed resection with primary anastomosis.Resection included a routinemesocolic lymphadenectomy, with quality assessment using a cut-off of a median of 12 examined lymph nodes, according to published guidelines 21,22.Patients with resectable synchronous liver metastasis underwent colectomy followed by curative metastasectomy in another operation.There was no strict surgical protocol in the two hospitals for emergency surgery.The choice of specific surgical treatment was at the discretion of the consulting surgeon depending on preoperative and intraoperative findings, tumour location and patient condition.All elective operations were performed by dedicated colorectal surgeons, whereas emergency surgery was undertaken by the surgeon on call.2 cases stent migration (as per table 5) unconfirmed if related to cook stent as multiple devices used in study.
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